National Provider Identifier [NPI]: |
1841248812 |
Last Name Of The Provider |
HUANG |
First Name Of The Provider |
SAM |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1010 W LA VETA AVE |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
ORANGE |
Zip Code Of The Provider |
928684304 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
129251 |
Number Of Medicare Beneficiaries |
390 |
Total Submitted Charge Amount |
2316321.17 |
Total Medicare Allowed Amount |
2219281.91 |
Total Medicare Payment Amount |
1713395.47 |
Total Medicare Standardized Payment Amount |
1676710.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
63 |
Number Of Drug Services |
122969 |
Number Of Medicare Beneficiaries With Drug Services |
101 |
Total Drug Submitted ChargeAmount |
1900743.04 |
Total Drug Medicare AllowedAmount |
1819672.37 |
Total Drug Medicare PaymentAmount |
1404306.64 |
Total Drug Medicare Standardized Payment Amount |
1404306.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
6282 |
Number Of Medicare Beneficiaries With Medical Services |
390 |
Total Medical Submitted Charge Amount |
415578.13 |
Total Medical Medicare Allowed Amount |
399609.54 |
Total Medical Medicare Payment Amount |
309088.83 |
Total Medical Medicare Standardized Payment Amount |
272403.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
156 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
211 |
Number Of Male Beneficiaries |
179 |
Number Of Non Hispanic White Beneficiaries |
260 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
55 |
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
305 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
45 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.9775 |