National Provider Identifier [NPI]: |
1851396469 |
Last Name Of The Provider |
KUO |
First Name Of The Provider |
TOMMY |
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 |
1 BAYWOOD AVE |
Street Address 2 Of The Provider |
STE 8 |
City Of The Provider |
SAN MATEO |
Zip Code Of The Provider |
944021537 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
1273 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
130511 |
Total Medicare Allowed Amount |
93580.43 |
Total Medicare Payment Amount |
66000.11 |
Total Medicare Standardized Payment Amount |
56080.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
114 |
Total Drug Submitted ChargeAmount |
5785 |
Total Drug Medicare AllowedAmount |
4385.15 |
Total Drug Medicare PaymentAmount |
4296.17 |
Total Drug Medicare Standardized Payment Amount |
4296.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1143 |
Number Of Medicare Beneficiaries With Medical Services |
326 |
Total Medical Submitted Charge Amount |
124726 |
Total Medical Medicare Allowed Amount |
89195.28 |
Total Medical Medicare Payment Amount |
61703.94 |
Total Medical Medicare Standardized Payment Amount |
51784.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
192 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
155 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
201 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
76 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
3 |
Percent Of With Depression |
8 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
37 |
Percent Of With Hypertension |
47 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.7685 |