National Provider Identifier [NPI]: |
1093772493 |
Last Name Of The Provider |
HWANG |
First Name Of The Provider |
YUNG |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1450 E. KEARNEY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
65803 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
1848 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
235314.95 |
Total Medicare Allowed Amount |
195967.1 |
Total Medicare Payment Amount |
139347.35 |
Total Medicare Standardized Payment Amount |
151217.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
54 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
761.04 |
Total Drug Medicare AllowedAmount |
761.04 |
Total Drug Medicare PaymentAmount |
745.98 |
Total Drug Medicare Standardized Payment Amount |
745.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
1794 |
Number Of Medicare Beneficiaries With Medical Services |
243 |
Total Medical Submitted Charge Amount |
234553.91 |
Total Medical Medicare Allowed Amount |
195206.06 |
Total Medical Medicare Payment Amount |
138601.37 |
Total Medical Medicare Standardized Payment Amount |
150471.45 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
80 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
25 |
Number Of Female Beneficiaries |
124 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
182 |
Number Of Black or African American Beneficiaries |
11 |
Number Of AsianPacific Islander Beneficiaries |
34 |
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 |
77 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
47 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6182 |