National Provider Identifier [NPI]: |
1700069630 |
Last Name Of The Provider |
TANG |
First Name Of The Provider |
TUNG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2650 JONES WAY STE 30 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIMI VALLEY |
Zip Code Of The Provider |
930651221 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
8041 |
Number Of Medicare Beneficiaries |
727 |
Total Submitted Charge Amount |
1287998.6 |
Total Medicare Allowed Amount |
420406.87 |
Total Medicare Payment Amount |
322277.33 |
Total Medicare Standardized Payment Amount |
294029.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3609 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
32760 |
Total Drug Medicare AllowedAmount |
19869.26 |
Total Drug Medicare PaymentAmount |
15577.55 |
Total Drug Medicare Standardized Payment Amount |
15577.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
4432 |
Number Of Medicare Beneficiaries With Medical Services |
727 |
Total Medical Submitted Charge Amount |
1255238.6 |
Total Medical Medicare Allowed Amount |
400537.61 |
Total Medical Medicare Payment Amount |
306699.78 |
Total Medical Medicare Standardized Payment Amount |
278452.35 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
265 |
Number Of Beneficiaries Age 75 to 84 |
233 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
421 |
Number Of Male Beneficiaries |
306 |
Number Of Non Hispanic White Beneficiaries |
603 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
62 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
587 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
1.5546 |