National Provider Identifier [NPI]: |
1134178056 |
Last Name Of The Provider |
YI |
First Name Of The Provider |
JONG-YOON |
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 |
301 MADISON ST |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
JOLIET |
Zip Code Of The Provider |
604356549 |
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 |
56 |
Number Of Services |
7518 |
Number Of Medicare Beneficiaries |
3157 |
Total Submitted Charge Amount |
1587920.1 |
Total Medicare Allowed Amount |
819888.47 |
Total Medicare Payment Amount |
618162.13 |
Total Medicare Standardized Payment Amount |
599253.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
344 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
25800 |
Total Drug Medicare AllowedAmount |
18206.99 |
Total Drug Medicare PaymentAmount |
14143.53 |
Total Drug Medicare Standardized Payment Amount |
14143.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
7174 |
Number Of Medicare Beneficiaries With Medical Services |
3157 |
Total Medical Submitted Charge Amount |
1562120.1 |
Total Medical Medicare Allowed Amount |
801681.48 |
Total Medical Medicare Payment Amount |
604018.6 |
Total Medical Medicare Standardized Payment Amount |
585110.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
334 |
Number Of Beneficiaries Age 65 to 74 |
1140 |
Number Of Beneficiaries Age 75 to 84 |
1085 |
Number Of Beneficiaries Age Greater 84 |
598 |
Number Of Female Beneficiaries |
1690 |
Number Of Male Beneficiaries |
1467 |
Number Of Non Hispanic White Beneficiaries |
2730 |
Number Of Black or African American Beneficiaries |
248 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2640 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
517 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8319 |