National Provider Identifier [NPI]: |
1053583914 |
Last Name Of The Provider |
CHOI |
First Name Of The Provider |
JOONUN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
80 MILL RIVER ST |
Street Address 2 Of The Provider |
SUITE 1300 |
City Of The Provider |
STAMFORD |
Zip Code Of The Provider |
069023733 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
2577 |
Number Of Medicare Beneficiaries |
999 |
Total Submitted Charge Amount |
444810 |
Total Medicare Allowed Amount |
168566.84 |
Total Medicare Payment Amount |
126640.47 |
Total Medicare Standardized Payment Amount |
114932.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
2577 |
Number Of Medicare Beneficiaries With Medical Services |
999 |
Total Medical Submitted Charge Amount |
444810 |
Total Medical Medicare Allowed Amount |
168566.84 |
Total Medical Medicare Payment Amount |
126640.47 |
Total Medical Medicare Standardized Payment Amount |
114932.79 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
348 |
Number Of Beneficiaries Age Greater 84 |
245 |
Number Of Female Beneficiaries |
507 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
742 |
Number Of Black or African American Beneficiaries |
123 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
735 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
264 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.421 |