| National Provider Identifier [NPI]: | 1235227760 |
| Last Name Of The Provider | KIM |
| First Name Of The Provider | NICHOLAS |
| Middle Initial Of The Provider | Y |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3010 W ORANGE AVE |
| Street Address 2 Of The Provider | #409 |
| City Of The Provider | ANAHEIM |
| Zip Code Of The Provider | 928043169 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 84 |
| Number Of Services | 16087 |
| Number Of Medicare Beneficiaries | 576 |
| Total Submitted Charge Amount | 1325000.16 |
| Total Medicare Allowed Amount | 1009193.84 |
| Total Medicare Payment Amount | 790690.09 |
| Total Medicare Standardized Payment Amount | 712067.87 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 18 |
| Number Of Drug Services | 4649 |
| Number Of Medicare Beneficiaries With Drug Services | 523 |
| Total Drug Submitted ChargeAmount | 196941.16 |
| Total Drug Medicare AllowedAmount | 141592.16 |
| Total Drug Medicare PaymentAmount | 112030.12 |
| Total Drug Medicare Standardized Payment Amount | 112030.12 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 66 |
| Number Of Medical Services | 11438 |
| Number Of Medicare Beneficiaries With Medical Services | 576 |
| Total Medical Submitted Charge Amount | 1128059 |
| Total Medical Medicare Allowed Amount | 867601.68 |
| Total Medical Medicare Payment Amount | 678659.97 |
| Total Medical Medicare Standardized Payment Amount | 600037.75 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | 183 |
| Number Of Beneficiaries Age 75 to 84 | 268 |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 414 |
| Number Of Male Beneficiaries | 162 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 533 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 27 |
| Number Of Beneficiaries With Medicare Only Entitlement | 55 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 521 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 6 |
| Percent Of With Heart Failure | 22 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 56 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 29 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 74 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.2971 |