National Provider Identifier [NPI]: |
1407909682 |
Last Name Of The Provider |
KWOK |
First Name Of The Provider |
MONICE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 UNIVERSITY AVE |
Street Address 2 Of The Provider |
STE 220 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958256504 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
3140 |
Number Of Medicare Beneficiaries |
585 |
Total Submitted Charge Amount |
331704 |
Total Medicare Allowed Amount |
285576.04 |
Total Medicare Payment Amount |
200831.13 |
Total Medicare Standardized Payment Amount |
193073.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
202 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
3362 |
Total Drug Medicare AllowedAmount |
511.23 |
Total Drug Medicare PaymentAmount |
318.43 |
Total Drug Medicare Standardized Payment Amount |
318.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2938 |
Number Of Medicare Beneficiaries With Medical Services |
585 |
Total Medical Submitted Charge Amount |
328342 |
Total Medical Medicare Allowed Amount |
285064.81 |
Total Medical Medicare Payment Amount |
200512.7 |
Total Medical Medicare Standardized Payment Amount |
192754.61 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
210 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
414 |
Number Of Male Beneficiaries |
171 |
Number Of Non Hispanic White Beneficiaries |
477 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
63 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0167 |