National Provider Identifier [NPI]: |
1598735987 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
IN |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
17000 HUBBARD DR |
Street Address 2 Of The Provider |
SUITE 800 |
City Of The Provider |
DEARBORN |
Zip Code Of The Provider |
481264258 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1283 |
Number Of Medicare Beneficiaries |
378 |
Total Submitted Charge Amount |
159692.5 |
Total Medicare Allowed Amount |
104992.42 |
Total Medicare Payment Amount |
79717.33 |
Total Medicare Standardized Payment Amount |
70632.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
48 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
444 |
Total Drug Medicare AllowedAmount |
148.73 |
Total Drug Medicare PaymentAmount |
114.72 |
Total Drug Medicare Standardized Payment Amount |
114.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1235 |
Number Of Medicare Beneficiaries With Medical Services |
378 |
Total Medical Submitted Charge Amount |
159248.5 |
Total Medical Medicare Allowed Amount |
104843.69 |
Total Medical Medicare Payment Amount |
79602.61 |
Total Medical Medicare Standardized Payment Amount |
70517.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
99 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
225 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
319 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
313 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.4772 |