National Provider Identifier [NPI]: |
1457446957 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2101 VALE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN PABLO |
Zip Code Of The Provider |
948063835 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5025 |
Number Of Medicare Beneficiaries |
1672 |
Total Submitted Charge Amount |
1983853.5 |
Total Medicare Allowed Amount |
512399.42 |
Total Medicare Payment Amount |
386087.66 |
Total Medicare Standardized Payment Amount |
340684.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
551 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
37749 |
Total Drug Medicare AllowedAmount |
28933.38 |
Total Drug Medicare PaymentAmount |
22463.86 |
Total Drug Medicare Standardized Payment Amount |
22463.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4474 |
Number Of Medicare Beneficiaries With Medical Services |
1672 |
Total Medical Submitted Charge Amount |
1946104.5 |
Total Medical Medicare Allowed Amount |
483466.04 |
Total Medical Medicare Payment Amount |
363623.8 |
Total Medical Medicare Standardized Payment Amount |
318220.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
193 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
530 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
945 |
Number Of Male Beneficiaries |
727 |
Number Of Non Hispanic White Beneficiaries |
1071 |
Number Of Black or African American Beneficiaries |
246 |
Number Of AsianPacific Islander Beneficiaries |
136 |
Number Of Hispanic Beneficiaries |
168 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
338 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5818 |