| National Provider Identifier [NPI]: | 1568655462 |
| Last Name Of The Provider | HUANG |
| First Name Of The Provider | WILLIS |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. PHD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2281 PARAGON DR |
| Street Address 2 Of The Provider | ROBIN MONTGOMERY, CREDENTIALING MANAGER NCI/VRI |
| City Of The Provider | SAN JOSE |
| Zip Code Of The Provider | 951311307 |
| 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 | 141 |
| Number Of Services | 14139 |
| Number Of Medicare Beneficiaries | 2170 |
| Total Submitted Charge Amount | 1839849.98 |
| Total Medicare Allowed Amount | 550527.21 |
| Total Medicare Payment Amount | 423134.41 |
| Total Medicare Standardized Payment Amount | 358874.26 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 11207 |
| Number Of Medicare Beneficiaries With Drug Services | 160 |
| Total Drug Submitted ChargeAmount | 13552.5 |
| Total Drug Medicare AllowedAmount | 3152.77 |
| Total Drug Medicare PaymentAmount | 2345.66 |
| Total Drug Medicare Standardized Payment Amount | 2345.66 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 136 |
| Number Of Medical Services | 2932 |
| Number Of Medicare Beneficiaries With Medical Services | 2170 |
| Total Medical Submitted Charge Amount | 1826297.48 |
| Total Medical Medicare Allowed Amount | 547374.44 |
| Total Medical Medicare Payment Amount | 420788.75 |
| Total Medical Medicare Standardized Payment Amount | 356528.6 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 143 |
| Number Of Beneficiaries Age 65 to 74 | 998 |
| Number Of Beneficiaries Age 75 to 84 | 719 |
| Number Of Beneficiaries Age Greater 84 | 310 |
| Number Of Female Beneficiaries | 1361 |
| Number Of Male Beneficiaries | 809 |
| Number Of Non Hispanic White Beneficiaries | 1324 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 547 |
| Number Of Hispanic Beneficiaries | 189 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 71 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1569 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 601 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 32 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 29 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0449 |