National Provider Identifier [NPI]: |
1497723969 |
Last Name Of The Provider |
CHUANG |
First Name Of The Provider |
NATHANIEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8745 AERO DR |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921231774 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
123 |
Number Of Services |
2099 |
Number Of Medicare Beneficiaries |
1355 |
Total Submitted Charge Amount |
243567.33 |
Total Medicare Allowed Amount |
73640.32 |
Total Medicare Payment Amount |
54464.15 |
Total Medicare Standardized Payment Amount |
54237.62 |
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 |
123 |
Number Of Medical Services |
2099 |
Number Of Medicare Beneficiaries With Medical Services |
1355 |
Total Medical Submitted Charge Amount |
243567.33 |
Total Medical Medicare Allowed Amount |
73640.32 |
Total Medical Medicare Payment Amount |
54464.15 |
Total Medical Medicare Standardized Payment Amount |
54237.62 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
237 |
Number Of Beneficiaries Age 65 to 74 |
427 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
698 |
Number Of Male Beneficiaries |
657 |
Number Of Non Hispanic White Beneficiaries |
753 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
153 |
Number Of Hispanic Beneficiaries |
331 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
736 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
619 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.4945 |