National Provider Identifier [NPI]: |
1366491383 |
Last Name Of The Provider |
YUN |
First Name Of The Provider |
KYU |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12828 HARBOR BL |
Street Address 2 Of The Provider |
#320 |
City Of The Provider |
GARDEN GROVE |
Zip Code Of The Provider |
928402005 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
3444 |
Number Of Medicare Beneficiaries |
235 |
Total Submitted Charge Amount |
220276 |
Total Medicare Allowed Amount |
184142.02 |
Total Medicare Payment Amount |
132576.82 |
Total Medicare Standardized Payment Amount |
115387.86 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
538 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
9436 |
Total Drug Medicare AllowedAmount |
5030.79 |
Total Drug Medicare PaymentAmount |
4633 |
Total Drug Medicare Standardized Payment Amount |
4633 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
18 |
Number Of Medical Services |
2906 |
Number Of Medicare Beneficiaries With Medical Services |
235 |
Total Medical Submitted Charge Amount |
210840 |
Total Medical Medicare Allowed Amount |
179111.23 |
Total Medical Medicare Payment Amount |
127943.82 |
Total Medical Medicare Standardized Payment Amount |
110754.86 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
107 |
Number Of Beneficiaries Age 75 to 84 |
80 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
102 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
173 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
49 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
186 |
Percent Of With Atrial Fibrillation |
45 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
|
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
75 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3129 |