| National Provider Identifier [NPI]: | 1013902030 |
| Last Name Of The Provider | CHU |
| First Name Of The Provider | GORDEN |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2950 S MARYLAND PKWY |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAS VEGAS |
| Zip Code Of The Provider | 891092204 |
| State Code Of The Provider | NV |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 135 |
| Number Of Services | 39073 |
| Number Of Medicare Beneficiaries | 3646 |
| Total Submitted Charge Amount | 2226011.05 |
| Total Medicare Allowed Amount | 965792.49 |
| Total Medicare Payment Amount | 780053.29 |
| Total Medicare Standardized Payment Amount | 784954.58 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 6 |
| Number Of Drug Services | 32626 |
| Number Of Medicare Beneficiaries With Drug Services | 580 |
| Total Drug Submitted ChargeAmount | 11794.78 |
| Total Drug Medicare AllowedAmount | 9489.88 |
| Total Drug Medicare PaymentAmount | 7356.95 |
| Total Drug Medicare Standardized Payment Amount | 7356.95 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 129 |
| Number Of Medical Services | 6447 |
| Number Of Medicare Beneficiaries With Medical Services | 3646 |
| Total Medical Submitted Charge Amount | 2214216.27 |
| Total Medical Medicare Allowed Amount | 956302.61 |
| Total Medical Medicare Payment Amount | 772696.34 |
| Total Medical Medicare Standardized Payment Amount | 777597.63 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 402 |
| Number Of Beneficiaries Age 65 to 74 | 2206 |
| Number Of Beneficiaries Age 75 to 84 | 858 |
| Number Of Beneficiaries Age Greater 84 | 180 |
| Number Of Female Beneficiaries | 3059 |
| Number Of Male Beneficiaries | 587 |
| Number Of Non Hispanic White Beneficiaries | 2657 |
| Number Of Black or African American Beneficiaries | 343 |
| Number Of AsianPacific Islander Beneficiaries | 235 |
| Number Of Hispanic Beneficiaries | 310 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3243 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 403 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 5 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 9 |
| Percent Of With Chronic Kidney Disease | 20 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 15 |
| Percent Of With Depression | 17 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 65 |
| Percent Of With Ischemic Heart Disease | 28 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.0225 |