Medicare Facts for Eric Song, PA


National Provider Identifier [NPI]: 1083918403
Last Name Of The Provider SONG
First Name Of The Provider ERIC
Middle Initial Of The Provider
Credentials Of The Provider P.A.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1850 E WASHINGTON ST
Street Address 2 Of The Provider
City Of The Provider COLTON
Zip Code Of The Provider 923244621
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 28
Number Of Services 476
Number Of Medicare Beneficiaries 206
Total Submitted Charge Amount 94574.31
Total Medicare Allowed Amount 37903.99
Total Medicare Payment Amount 29798.68
Total Medicare Standardized Payment Amount 32587.2
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 61
Number Of Beneficiaries Age Less65 105
Number Of Beneficiaries Age 65 to 74 68
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 135
Number Of Male Beneficiaries 71
Number Of Non Hispanic White Beneficiaries 130
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 36
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 101
Number Of Beneficiaries With Medicare Medicaid Entitlement 105
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 14
Percent Of With Cancer 6
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 33
Percent Of With Diabetes 33
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 55
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 64
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.4993

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