Medicare Facts for Dr. Samuel S. Kim, DO


National Provider Identifier [NPI]: 1073953469
Last Name Of The Provider KIM
First Name Of The Provider SAMUEL
Middle Initial Of The Provider S
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 5451 WALNUT AVE
Street Address 2 Of The Provider
City Of The Provider CHINO
Zip Code Of The Provider 917102609
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 889
Number Of Medicare Beneficiaries 205
Total Submitted Charge Amount 119610
Total Medicare Allowed Amount 80026.88
Total Medicare Payment Amount 62741.7
Total Medicare Standardized Payment Amount 61662.53
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 15
Number Of Medical Services 889
Number Of Medicare Beneficiaries With Medical Services 205
Total Medical Submitted Charge Amount 119610
Total Medical Medicare Allowed Amount 80026.88
Total Medical Medicare Payment Amount 62741.7
Total Medical Medicare Standardized Payment Amount 61662.53
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65 38
Number Of Beneficiaries Age 65 to 74 46
Number Of Beneficiaries Age 75 to 84 63
Number Of Beneficiaries Age Greater 84 58
Number Of Female Beneficiaries 109
Number Of Male Beneficiaries 96
Number Of Non Hispanic White Beneficiaries 62
Number Of Black or African American Beneficiaries 27
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 105
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 21
Number Of Beneficiaries With Medicare Medicaid Entitlement 184
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 58
Percent Of With Asthma 10
Percent Of With Cancer 8
Percent Of With Heart Failure 53
Percent Of With Chronic Kidney Disease 67
Percent Of With Chronic Obstructive Pulmonary Disease 42
Percent Of With Depression 42
Percent Of With Diabetes 69
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 68
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 60
Percent Of With Schizophrenia Other PsychoticDisorders 24
Percent Of With Stroke 29
Average HCC Risk Score Of Beneficiaries 3.6276

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