National Provider Identifier [NPI]: |
1073503678 |
Last Name Of The Provider |
KIM |
First Name Of The Provider |
HUIJUNG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1145 19TH ST NW |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200363701 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
154 |
Number Of Services |
8730 |
Number Of Medicare Beneficiaries |
3521 |
Total Submitted Charge Amount |
1804724 |
Total Medicare Allowed Amount |
524094.36 |
Total Medicare Payment Amount |
431826.11 |
Total Medicare Standardized Payment Amount |
376425.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1963 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
2737 |
Total Drug Medicare AllowedAmount |
792.69 |
Total Drug Medicare PaymentAmount |
597.61 |
Total Drug Medicare Standardized Payment Amount |
597.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
151 |
Number Of Medical Services |
6767 |
Number Of Medicare Beneficiaries With Medical Services |
3521 |
Total Medical Submitted Charge Amount |
1801987 |
Total Medical Medicare Allowed Amount |
523301.67 |
Total Medical Medicare Payment Amount |
431228.5 |
Total Medical Medicare Standardized Payment Amount |
375827.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
136 |
Number Of Beneficiaries Age 65 to 74 |
1407 |
Number Of Beneficiaries Age 75 to 84 |
1246 |
Number Of Beneficiaries Age Greater 84 |
732 |
Number Of Female Beneficiaries |
2734 |
Number Of Male Beneficiaries |
787 |
Number Of Non Hispanic White Beneficiaries |
2787 |
Number Of Black or African American Beneficiaries |
315 |
Number Of AsianPacific Islander Beneficiaries |
170 |
Number Of Hispanic Beneficiaries |
156 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1917 |