National Provider Identifier [NPI]: |
1609887371 |
Last Name Of The Provider |
CHUNG |
First Name Of The Provider |
YUEH-JU |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2410 SAMARITAN DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951243909 |
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 |
191 |
Number Of Services |
5143 |
Number Of Medicare Beneficiaries |
2826 |
Total Submitted Charge Amount |
567624 |
Total Medicare Allowed Amount |
161417.85 |
Total Medicare Payment Amount |
122585.03 |
Total Medicare Standardized Payment Amount |
110300.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
191 |
Number Of Medical Services |
5143 |
Number Of Medicare Beneficiaries With Medical Services |
2826 |
Total Medical Submitted Charge Amount |
567624 |
Total Medical Medicare Allowed Amount |
161417.85 |
Total Medical Medicare Payment Amount |
122585.03 |
Total Medical Medicare Standardized Payment Amount |
110300.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
203 |
Number Of Beneficiaries Age 65 to 74 |
1053 |
Number Of Beneficiaries Age 75 to 84 |
954 |
Number Of Beneficiaries Age Greater 84 |
616 |
Number Of Female Beneficiaries |
1959 |
Number Of Male Beneficiaries |
867 |
Number Of Non Hispanic White Beneficiaries |
2211 |
Number Of Black or African American Beneficiaries |
56 |
Number Of AsianPacific Islander Beneficiaries |
245 |
Number Of Hispanic Beneficiaries |
257 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2333 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
493 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.4748 |