| National Provider Identifier [NPI]: | 1750370714 |
| Last Name Of The Provider | LEUNG |
| First Name Of The Provider | JIMMY |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 8020 CONSTITUTION PL NE |
| Street Address 2 Of The Provider | SUITE 202 |
| City Of The Provider | ALBUQUERQUE |
| Zip Code Of The Provider | 871107607 |
| State Code Of The Provider | NM |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 160 |
| Number Of Services | 42915 |
| Number Of Medicare Beneficiaries | 2671 |
| Total Submitted Charge Amount | 2407829.6 |
| Total Medicare Allowed Amount | 554879.54 |
| Total Medicare Payment Amount | 420304.03 |
| Total Medicare Standardized Payment Amount | 440332.65 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 38531 |
| Number Of Medicare Beneficiaries With Drug Services | 451 |
| Total Drug Submitted ChargeAmount | 88156.6 |
| Total Drug Medicare AllowedAmount | 11646.6 |
| Total Drug Medicare PaymentAmount | 9041.82 |
| Total Drug Medicare Standardized Payment Amount | 9041.82 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 4384 |
| Number Of Medicare Beneficiaries With Medical Services | 2671 |
| Total Medical Submitted Charge Amount | 2319673 |
| Total Medical Medicare Allowed Amount | 543232.94 |
| Total Medical Medicare Payment Amount | 411262.21 |
| Total Medical Medicare Standardized Payment Amount | 431290.83 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 192 |
| Number Of Beneficiaries Age 65 to 74 | 1283 |
| Number Of Beneficiaries Age 75 to 84 | 834 |
| Number Of Beneficiaries Age Greater 84 | 362 |
| Number Of Female Beneficiaries | 1500 |
| Number Of Male Beneficiaries | 1171 |
| Number Of Non Hispanic White Beneficiaries | 2481 |
| Number Of Black or African American Beneficiaries | 43 |
| Number Of AsianPacific Islander Beneficiaries | 27 |
| Number Of Hispanic Beneficiaries | 58 |
| Number Of American Indian Alaska Native Beneficiaries | 26 |
| Number Of Beneficiaries With Race Not Else where Classified | 36 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2498 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 173 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 16 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 25 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 68 |
| Percent Of With Ischemic Heart Disease | 34 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 63 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3706 |