National Provider Identifier [NPI]: |
1669439667 |
Last Name Of The Provider |
SEUNG |
First Name Of The Provider |
CHIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3700 SOUTH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
907121419 |
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 |
199 |
Number Of Services |
6819 |
Number Of Medicare Beneficiaries |
3336 |
Total Submitted Charge Amount |
1095946 |
Total Medicare Allowed Amount |
212862.2 |
Total Medicare Payment Amount |
158262.89 |
Total Medicare Standardized Payment Amount |
150897.38 |
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 |
199 |
Number Of Medical Services |
6819 |
Number Of Medicare Beneficiaries With Medical Services |
3336 |
Total Medical Submitted Charge Amount |
1095946 |
Total Medical Medicare Allowed Amount |
212862.2 |
Total Medical Medicare Payment Amount |
158262.89 |
Total Medical Medicare Standardized Payment Amount |
150897.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
761 |
Number Of Beneficiaries Age 65 to 74 |
1006 |
Number Of Beneficiaries Age 75 to 84 |
882 |
Number Of Beneficiaries Age Greater 84 |
687 |
Number Of Female Beneficiaries |
1963 |
Number Of Male Beneficiaries |
1373 |
Number Of Non Hispanic White Beneficiaries |
1059 |
Number Of Black or African American Beneficiaries |
1029 |
Number Of AsianPacific Islander Beneficiaries |
350 |
Number Of Hispanic Beneficiaries |
818 |
Number Of American Indian Alaska Native Beneficiaries |
17 |
Number Of Beneficiaries With Race Not Else where Classified |
63 |
Number Of Beneficiaries With Medicare Only Entitlement |
946 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2390 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
34 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.8338 |