National Provider Identifier [NPI]: |
1487805362 |
Last Name Of The Provider |
HONG |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2125 OAK GROVE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
WALNUT CREEK |
Zip Code Of The Provider |
945982536 |
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 |
220 |
Number Of Services |
10031 |
Number Of Medicare Beneficiaries |
2216 |
Total Submitted Charge Amount |
1122046 |
Total Medicare Allowed Amount |
208701.23 |
Total Medicare Payment Amount |
159484.45 |
Total Medicare Standardized Payment Amount |
144058.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
6754 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
6754 |
Total Drug Medicare AllowedAmount |
1186.06 |
Total Drug Medicare PaymentAmount |
925.88 |
Total Drug Medicare Standardized Payment Amount |
925.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
219 |
Number Of Medical Services |
3277 |
Number Of Medicare Beneficiaries With Medical Services |
2216 |
Total Medical Submitted Charge Amount |
1115292 |
Total Medical Medicare Allowed Amount |
207515.17 |
Total Medical Medicare Payment Amount |
158558.57 |
Total Medical Medicare Standardized Payment Amount |
143132.18 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
386 |
Number Of Beneficiaries Age 65 to 74 |
869 |
Number Of Beneficiaries Age 75 to 84 |
602 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
1367 |
Number Of Male Beneficiaries |
849 |
Number Of Non Hispanic White Beneficiaries |
1277 |
Number Of Black or African American Beneficiaries |
464 |
Number Of AsianPacific Islander Beneficiaries |
217 |
Number Of Hispanic Beneficiaries |
182 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
813 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8127 |