| National Provider Identifier [NPI]: | 1689638702 |
| Last Name Of The Provider | SHIN |
| First Name Of The Provider | HANG-JIN |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2338 NEW ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | BLUE ISLAND |
| Zip Code Of The Provider | 604062402 |
| State Code Of The Provider | IL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 73 |
| Number Of Services | 11651 |
| Number Of Medicare Beneficiaries | 5231 |
| Total Submitted Charge Amount | 3172075 |
| Total Medicare Allowed Amount | 984298.16 |
| Total Medicare Payment Amount | 747485.73 |
| Total Medicare Standardized Payment Amount | 710019.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 360 |
| Number Of Medicare Beneficiaries With Drug Services | 93 |
| Total Drug Submitted ChargeAmount | 35912 |
| Total Drug Medicare AllowedAmount | 18980.3 |
| Total Drug Medicare PaymentAmount | 14763.03 |
| Total Drug Medicare Standardized Payment Amount | 14763.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 71 |
| Number Of Medical Services | 11291 |
| Number Of Medicare Beneficiaries With Medical Services | 5230 |
| Total Medical Submitted Charge Amount | 3136163 |
| Total Medical Medicare Allowed Amount | 965317.86 |
| Total Medical Medicare Payment Amount | 732722.7 |
| Total Medical Medicare Standardized Payment Amount | 695256.33 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 602 |
| Number Of Beneficiaries Age 65 to 74 | 1870 |
| Number Of Beneficiaries Age 75 to 84 | 1805 |
| Number Of Beneficiaries Age Greater 84 | 954 |
| Number Of Female Beneficiaries | 2791 |
| Number Of Male Beneficiaries | 2440 |
| Number Of Non Hispanic White Beneficiaries | 3413 |
| Number Of Black or African American Beneficiaries | 1329 |
| Number Of AsianPacific Islander Beneficiaries | 39 |
| Number Of Hispanic Beneficiaries | 421 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 3941 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1290 |
| Percent Of With Atrial Fibrillation | 29 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 46 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 71 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9232 |