| National Provider Identifier [NPI]: | 1942305099 |
| Last Name Of The Provider | HONG |
| First Name Of The Provider | RAYMOND |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 410 S MELROSE DR |
| Street Address 2 Of The Provider | SUITE 104 |
| City Of The Provider | VISTA |
| Zip Code Of The Provider | 920816642 |
| 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 | 178 |
| Number Of Services | 18316 |
| Number Of Medicare Beneficiaries | 3425 |
| Total Submitted Charge Amount | 1698087.89 |
| Total Medicare Allowed Amount | 417512.8 |
| Total Medicare Payment Amount | 311438.89 |
| Total Medicare Standardized Payment Amount | 301831.57 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 12723 |
| Number Of Medicare Beneficiaries With Drug Services | 191 |
| Total Drug Submitted ChargeAmount | 30762.96 |
| Total Drug Medicare AllowedAmount | 4859.41 |
| Total Drug Medicare PaymentAmount | 3809.72 |
| Total Drug Medicare Standardized Payment Amount | 3809.72 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 176 |
| Number Of Medical Services | 5593 |
| Number Of Medicare Beneficiaries With Medical Services | 3425 |
| Total Medical Submitted Charge Amount | 1667324.93 |
| Total Medical Medicare Allowed Amount | 412653.39 |
| Total Medical Medicare Payment Amount | 307629.17 |
| Total Medical Medicare Standardized Payment Amount | 298021.85 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 488 |
| Number Of Beneficiaries Age 65 to 74 | 1086 |
| Number Of Beneficiaries Age 75 to 84 | 1018 |
| Number Of Beneficiaries Age Greater 84 | 833 |
| Number Of Female Beneficiaries | 2014 |
| Number Of Male Beneficiaries | 1411 |
| Number Of Non Hispanic White Beneficiaries | 2689 |
| Number Of Black or African American Beneficiaries | 90 |
| Number Of AsianPacific Islander Beneficiaries | 187 |
| Number Of Hispanic Beneficiaries | 364 |
| Number Of American Indian Alaska Native Beneficiaries | 35 |
| Number Of Beneficiaries With Race Not Else where Classified | 60 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2492 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 933 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 15 |
| Percent Of With Heart Failure | 33 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7941 |