National Provider Identifier [NPI]: |
1336284504 |
Last Name Of The Provider |
SHIN |
First Name Of The Provider |
HYUN |
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 |
9315 TELEGRAPH RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
REDFORD |
Zip Code Of The Provider |
482391260 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Psychiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
9086 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
196875.71 |
Total Medicare Allowed Amount |
136595.04 |
Total Medicare Payment Amount |
99478.33 |
Total Medicare Standardized Payment Amount |
98052.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
7899 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
64845.71 |
Total Drug Medicare AllowedAmount |
51950.93 |
Total Drug Medicare PaymentAmount |
40382.67 |
Total Drug Medicare Standardized Payment Amount |
40382.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
10 |
Number Of Medical Services |
1187 |
Number Of Medicare Beneficiaries With Medical Services |
326 |
Total Medical Submitted Charge Amount |
132030 |
Total Medical Medicare Allowed Amount |
84644.11 |
Total Medical Medicare Payment Amount |
59095.66 |
Total Medical Medicare Standardized Payment Amount |
57670.26 |
Average Age Of Beneficiaries |
51 |
Number Of Beneficiaries Age Less65 |
281 |
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
212 |
Number Of Black or African American Beneficiaries |
94 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
69 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
257 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
58 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3053 |