National Provider Identifier [NPI]: |
1366400830 |
Last Name Of The Provider |
HUNG |
First Name Of The Provider |
VINCENT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
452 NORTH ALTADENA DR. |
Street Address 2 Of The Provider |
|
City Of The Provider |
PASADENA |
Zip Code Of The Provider |
91107 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Plastic and Reconstructive Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
6020 |
Number Of Medicare Beneficiaries |
1238 |
Total Submitted Charge Amount |
4234760 |
Total Medicare Allowed Amount |
1951213.1 |
Total Medicare Payment Amount |
1517338.12 |
Total Medicare Standardized Payment Amount |
1231880.44 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
349 |
Number Of Medicare Beneficiaries With Drug Services |
191 |
Total Drug Submitted ChargeAmount |
1745 |
Total Drug Medicare AllowedAmount |
624.92 |
Total Drug Medicare PaymentAmount |
430.33 |
Total Drug Medicare Standardized Payment Amount |
430.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
92 |
Number Of Medical Services |
5671 |
Number Of Medicare Beneficiaries With Medical Services |
1238 |
Total Medical Submitted Charge Amount |
4233015 |
Total Medical Medicare Allowed Amount |
1950588.18 |
Total Medical Medicare Payment Amount |
1516907.79 |
Total Medical Medicare Standardized Payment Amount |
1231450.11 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
25 |
Number Of Beneficiaries Age 65 to 74 |
499 |
Number Of Beneficiaries Age 75 to 84 |
445 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
638 |
Number Of Non Hispanic White Beneficiaries |
1168 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1174 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0935 |