National Provider Identifier [NPI]: |
1093717803 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
MYUNG |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
238 W CHESTNUT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAZLETON |
Zip Code Of The Provider |
18201 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
5099 |
Number Of Medicare Beneficiaries |
1220 |
Total Submitted Charge Amount |
445571 |
Total Medicare Allowed Amount |
235281.01 |
Total Medicare Payment Amount |
176410.27 |
Total Medicare Standardized Payment Amount |
166208.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
406 |
Total Drug Medicare AllowedAmount |
247.78 |
Total Drug Medicare PaymentAmount |
242.44 |
Total Drug Medicare Standardized Payment Amount |
242.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
5082 |
Number Of Medicare Beneficiaries With Medical Services |
1220 |
Total Medical Submitted Charge Amount |
445165 |
Total Medical Medicare Allowed Amount |
235033.23 |
Total Medical Medicare Payment Amount |
176167.83 |
Total Medical Medicare Standardized Payment Amount |
165966.4 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
423 |
Number Of Beneficiaries Age Greater 84 |
366 |
Number Of Female Beneficiaries |
725 |
Number Of Male Beneficiaries |
495 |
Number Of Non Hispanic White Beneficiaries |
1153 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
895 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
325 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
73 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9161 |