National Provider Identifier [NPI]: |
1326023482 |
Last Name Of The Provider |
KEUNG |
First Name Of The Provider |
YI-KONG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
707 S GARFIELD AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALHAMBRA |
Zip Code Of The Provider |
918015859 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
10414 |
Number Of Medicare Beneficiaries |
268 |
Total Submitted Charge Amount |
1405350.74 |
Total Medicare Allowed Amount |
305693.27 |
Total Medicare Payment Amount |
237697.62 |
Total Medicare Standardized Payment Amount |
231264.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
41 |
Number Of Drug Services |
8660 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
999282.31 |
Total Drug Medicare AllowedAmount |
196914.57 |
Total Drug Medicare PaymentAmount |
154282.47 |
Total Drug Medicare Standardized Payment Amount |
154282.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1754 |
Number Of Medicare Beneficiaries With Medical Services |
268 |
Total Medical Submitted Charge Amount |
406068.43 |
Total Medical Medicare Allowed Amount |
108778.7 |
Total Medical Medicare Payment Amount |
83415.15 |
Total Medical Medicare Standardized Payment Amount |
76982.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
95 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
122 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
184 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
64 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
24 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.7022 |