National Provider Identifier [NPI]: |
1760474373 |
Last Name Of The Provider |
CHOI |
First Name Of The Provider |
SANG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3890 TAMPA RD |
Street Address 2 Of The Provider |
STE 202 |
City Of The Provider |
PALM HARBOR |
Zip Code Of The Provider |
346843676 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
6363 |
Number Of Medicare Beneficiaries |
846 |
Total Submitted Charge Amount |
2611289.2 |
Total Medicare Allowed Amount |
514732.5 |
Total Medicare Payment Amount |
380527.58 |
Total Medicare Standardized Payment Amount |
381176.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1385 |
Number Of Medicare Beneficiaries With Drug Services |
442 |
Total Drug Submitted ChargeAmount |
161990.2 |
Total Drug Medicare AllowedAmount |
52725.23 |
Total Drug Medicare PaymentAmount |
38814.5 |
Total Drug Medicare Standardized Payment Amount |
38814.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
162 |
Number Of Medical Services |
4978 |
Number Of Medicare Beneficiaries With Medical Services |
846 |
Total Medical Submitted Charge Amount |
2449299 |
Total Medical Medicare Allowed Amount |
462007.27 |
Total Medical Medicare Payment Amount |
341713.08 |
Total Medical Medicare Standardized Payment Amount |
342362.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
404 |
Number Of Beneficiaries Age 75 to 84 |
288 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
801 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
819 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0629 |