National Provider Identifier [NPI]: |
1407880073 |
Last Name Of The Provider |
HAHN |
First Name Of The Provider |
HYOJOON |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11620 WILSHIRE BLVD |
Street Address 2 Of The Provider |
STE. 100 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900251706 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
11339 |
Number Of Medicare Beneficiaries |
1393 |
Total Submitted Charge Amount |
2216857.67 |
Total Medicare Allowed Amount |
461250.33 |
Total Medicare Payment Amount |
351515.85 |
Total Medicare Standardized Payment Amount |
324491.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
8908 |
Number Of Medicare Beneficiaries With Drug Services |
394 |
Total Drug Submitted ChargeAmount |
45158.57 |
Total Drug Medicare AllowedAmount |
9859.21 |
Total Drug Medicare PaymentAmount |
7156.63 |
Total Drug Medicare Standardized Payment Amount |
7156.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2431 |
Number Of Medicare Beneficiaries With Medical Services |
1390 |
Total Medical Submitted Charge Amount |
2171699.1 |
Total Medical Medicare Allowed Amount |
451391.12 |
Total Medical Medicare Payment Amount |
344359.22 |
Total Medical Medicare Standardized Payment Amount |
317334.65 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
173 |
Number Of Beneficiaries Age 65 to 74 |
566 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
171 |
Number Of Female Beneficiaries |
783 |
Number Of Male Beneficiaries |
610 |
Number Of Non Hispanic White Beneficiaries |
1040 |
Number Of Black or African American Beneficiaries |
106 |
Number Of AsianPacific Islander Beneficiaries |
83 |
Number Of Hispanic Beneficiaries |
112 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
901 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
492 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3075 |