National Provider Identifier [NPI]: |
1972578128 |
Last Name Of The Provider |
AHN |
First Name Of The Provider |
JEUNG |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6800 GUY MURRAY ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NEW PARIS |
Zip Code Of The Provider |
453478309 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
8247 |
Number Of Medicare Beneficiaries |
898 |
Total Submitted Charge Amount |
571690 |
Total Medicare Allowed Amount |
520019.21 |
Total Medicare Payment Amount |
380462.46 |
Total Medicare Standardized Payment Amount |
405034.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
356 |
Number Of Medicare Beneficiaries With Drug Services |
291 |
Total Drug Submitted ChargeAmount |
9430 |
Total Drug Medicare AllowedAmount |
4563.75 |
Total Drug Medicare PaymentAmount |
4416.84 |
Total Drug Medicare Standardized Payment Amount |
4416.84 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
7891 |
Number Of Medicare Beneficiaries With Medical Services |
898 |
Total Medical Submitted Charge Amount |
562260 |
Total Medical Medicare Allowed Amount |
515455.46 |
Total Medical Medicare Payment Amount |
376045.62 |
Total Medical Medicare Standardized Payment Amount |
400617.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
517 |
Number Of Male Beneficiaries |
381 |
Number Of Non Hispanic White Beneficiaries |
848 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
514 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
384 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.6314 |