| National Provider Identifier [NPI]: | 1740493048 |
| Last Name Of The Provider | TIEN |
| First Name Of The Provider | WENDY |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1624 W OLIVE AVE |
| Street Address 2 Of The Provider | SUITE F |
| City Of The Provider | BURBANK |
| Zip Code Of The Provider | 915062459 |
| 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 | 211 |
| Number Of Services | 13564.5 |
| Number Of Medicare Beneficiaries | 3035 |
| Total Submitted Charge Amount | 1274807.9 |
| Total Medicare Allowed Amount | 314980.69 |
| Total Medicare Payment Amount | 238398.51 |
| Total Medicare Standardized Payment Amount | 223579.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 7827.5 |
| Number Of Medicare Beneficiaries With Drug Services | 121 |
| Total Drug Submitted ChargeAmount | 13303.5 |
| Total Drug Medicare AllowedAmount | 3398.82 |
| Total Drug Medicare PaymentAmount | 2657.67 |
| Total Drug Medicare Standardized Payment Amount | 2657.67 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 5737 |
| Number Of Medicare Beneficiaries With Medical Services | 3035 |
| Total Medical Submitted Charge Amount | 1261504.4 |
| Total Medical Medicare Allowed Amount | 311581.87 |
| Total Medical Medicare Payment Amount | 235740.84 |
| Total Medical Medicare Standardized Payment Amount | 220922.28 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 322 |
| Number Of Beneficiaries Age 65 to 74 | 1094 |
| Number Of Beneficiaries Age 75 to 84 | 980 |
| Number Of Beneficiaries Age Greater 84 | 639 |
| Number Of Female Beneficiaries | 1866 |
| Number Of Male Beneficiaries | 1169 |
| Number Of Non Hispanic White Beneficiaries | 2177 |
| Number Of Black or African American Beneficiaries | 106 |
| Number Of AsianPacific Islander Beneficiaries | 183 |
| Number Of Hispanic Beneficiaries | 483 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1870 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1165 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 21 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 36 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 63 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.9655 |