National Provider Identifier [NPI]: |
1174513006 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
SYLVIA |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3001 GREEN BAY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORTH CHICAGO |
Zip Code Of The Provider |
600643048 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
1812 |
Number Of Medicare Beneficiaries |
501 |
Total Submitted Charge Amount |
262199 |
Total Medicare Allowed Amount |
189842.37 |
Total Medicare Payment Amount |
139920.07 |
Total Medicare Standardized Payment Amount |
124992.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
68 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
5775 |
Total Drug Medicare AllowedAmount |
3801.19 |
Total Drug Medicare PaymentAmount |
3635.47 |
Total Drug Medicare Standardized Payment Amount |
3635.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1744 |
Number Of Medicare Beneficiaries With Medical Services |
501 |
Total Medical Submitted Charge Amount |
256424 |
Total Medical Medicare Allowed Amount |
186041.18 |
Total Medical Medicare Payment Amount |
136284.6 |
Total Medical Medicare Standardized Payment Amount |
121356.59 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
160 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
254 |
Number Of Male Beneficiaries |
247 |
Number Of Non Hispanic White Beneficiaries |
462 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
377 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.5659 |