| National Provider Identifier [NPI]: | 1609846377 |
| Last Name Of The Provider | PENG |
| First Name Of The Provider | TIEN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 612 W DUARTE RD STE 101 |
| Street Address 2 Of The Provider | ARCADIA RADIOLOGY MEDICAL GROUP |
| City Of The Provider | ARCADIA |
| Zip Code Of The Provider | 910079220 |
| 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 | 228 |
| Number Of Services | 20598 |
| Number Of Medicare Beneficiaries | 5349 |
| Total Submitted Charge Amount | 2645396.48 |
| Total Medicare Allowed Amount | 703848.22 |
| Total Medicare Payment Amount | 542803.81 |
| Total Medicare Standardized Payment Amount | 490519.18 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 10244 |
| Number Of Medicare Beneficiaries With Drug Services | 206 |
| Total Drug Submitted ChargeAmount | 5569.3 |
| Total Drug Medicare AllowedAmount | 4186.68 |
| Total Drug Medicare PaymentAmount | 3248.86 |
| Total Drug Medicare Standardized Payment Amount | 3248.86 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 223 |
| Number Of Medical Services | 10354 |
| Number Of Medicare Beneficiaries With Medical Services | 5349 |
| Total Medical Submitted Charge Amount | 2639827.18 |
| Total Medical Medicare Allowed Amount | 699661.54 |
| Total Medical Medicare Payment Amount | 539554.95 |
| Total Medical Medicare Standardized Payment Amount | 487270.32 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 502 |
| Number Of Beneficiaries Age 65 to 74 | 1761 |
| Number Of Beneficiaries Age 75 to 84 | 1744 |
| Number Of Beneficiaries Age Greater 84 | 1342 |
| Number Of Female Beneficiaries | 3427 |
| Number Of Male Beneficiaries | 1922 |
| Number Of Non Hispanic White Beneficiaries | 2383 |
| Number Of Black or African American Beneficiaries | 153 |
| Number Of AsianPacific Islander Beneficiaries | 1659 |
| Number Of Hispanic Beneficiaries | 1036 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2721 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 2628 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 29 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 32 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 27 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 64 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 22 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 53 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0359 |