National Provider Identifier [NPI]: |
1780678789 |
Last Name Of The Provider |
CHUN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 MORGAN HWY |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
SCRANTON |
Zip Code Of The Provider |
185082641 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
6221 |
Number Of Medicare Beneficiaries |
472 |
Total Submitted Charge Amount |
722234 |
Total Medicare Allowed Amount |
214283.26 |
Total Medicare Payment Amount |
160841.45 |
Total Medicare Standardized Payment Amount |
159208.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
4375 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
49119 |
Total Drug Medicare AllowedAmount |
4531.78 |
Total Drug Medicare PaymentAmount |
3518.39 |
Total Drug Medicare Standardized Payment Amount |
3518.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
41 |
Number Of Medical Services |
1846 |
Number Of Medicare Beneficiaries With Medical Services |
471 |
Total Medical Submitted Charge Amount |
673115 |
Total Medical Medicare Allowed Amount |
209751.48 |
Total Medical Medicare Payment Amount |
157323.06 |
Total Medical Medicare Standardized Payment Amount |
155689.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
130 |
Number Of Beneficiaries Age Greater 84 |
44 |
Number Of Female Beneficiaries |
284 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
457 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.255 |