National Provider Identifier [NPI]: |
1225062060 |
Last Name Of The Provider |
TZENG |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
736 S GARFIELD AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
ALHAMBRA |
Zip Code Of The Provider |
918014437 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
11987 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
2298480 |
Total Medicare Allowed Amount |
1396145.28 |
Total Medicare Payment Amount |
1076100.1 |
Total Medicare Standardized Payment Amount |
980713.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1529 |
Number Of Medicare Beneficiaries With Drug Services |
381 |
Total Drug Submitted ChargeAmount |
182670 |
Total Drug Medicare AllowedAmount |
80617.3 |
Total Drug Medicare PaymentAmount |
63224.95 |
Total Drug Medicare Standardized Payment Amount |
63224.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
25 |
Number Of Medical Services |
10458 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
2115810 |
Total Medical Medicare Allowed Amount |
1315527.98 |
Total Medical Medicare Payment Amount |
1012875.15 |
Total Medical Medicare Standardized Payment Amount |
917488.32 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
428 |
Number Of Beneficiaries Age Greater 84 |
188 |
Number Of Female Beneficiaries |
554 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
875 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
162 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
750 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
28 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4054 |