National Provider Identifier [NPI]: |
1730404138 |
Last Name Of The Provider |
KIM |
First Name Of The Provider |
YUN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D., P.A. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3200 RED RIVER ST |
Street Address 2 Of The Provider |
210 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787052660 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1085 |
Number Of Medicare Beneficiaries |
217 |
Total Submitted Charge Amount |
111817 |
Total Medicare Allowed Amount |
71986.73 |
Total Medicare Payment Amount |
55717.4 |
Total Medicare Standardized Payment Amount |
55967.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
104 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
4770 |
Total Drug Medicare AllowedAmount |
3152.92 |
Total Drug Medicare PaymentAmount |
3081.63 |
Total Drug Medicare Standardized Payment Amount |
3081.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
981 |
Number Of Medicare Beneficiaries With Medical Services |
216 |
Total Medical Submitted Charge Amount |
107047 |
Total Medical Medicare Allowed Amount |
68833.81 |
Total Medical Medicare Payment Amount |
52635.77 |
Total Medical Medicare Standardized Payment Amount |
52886.27 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
17 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
163 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
25 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
24 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9484 |