National Provider Identifier [NPI]: |
1326041427 |
Last Name Of The Provider |
CHOE |
First Name Of The Provider |
SUNG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
421 E MERCED AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST COVINA |
Zip Code Of The Provider |
91790 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
4516 |
Number Of Medicare Beneficiaries |
878 |
Total Submitted Charge Amount |
1265878 |
Total Medicare Allowed Amount |
595752.63 |
Total Medicare Payment Amount |
440775.81 |
Total Medicare Standardized Payment Amount |
410645.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
631 |
Number Of Medicare Beneficiaries With Drug Services |
69 |
Total Drug Submitted ChargeAmount |
304721 |
Total Drug Medicare AllowedAmount |
113768.63 |
Total Drug Medicare PaymentAmount |
84882.57 |
Total Drug Medicare Standardized Payment Amount |
84882.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
3885 |
Number Of Medicare Beneficiaries With Medical Services |
878 |
Total Medical Submitted Charge Amount |
961157 |
Total Medical Medicare Allowed Amount |
481984 |
Total Medical Medicare Payment Amount |
355893.24 |
Total Medical Medicare Standardized Payment Amount |
325763.32 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
310 |
Number Of Beneficiaries Age 75 to 84 |
289 |
Number Of Beneficiaries Age Greater 84 |
176 |
Number Of Female Beneficiaries |
196 |
Number Of Male Beneficiaries |
682 |
Number Of Non Hispanic White Beneficiaries |
320 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
100 |
Number Of Hispanic Beneficiaries |
401 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
433 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
445 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
28 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7342 |