National Provider Identifier [NPI]: |
1922099100 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
LUKE |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 FRUIT ST |
Street Address 2 Of The Provider |
FND 216 |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021142621 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
3691 |
Number Of Medicare Beneficiaries |
2516 |
Total Submitted Charge Amount |
937077 |
Total Medicare Allowed Amount |
154313.38 |
Total Medicare Payment Amount |
116559.67 |
Total Medicare Standardized Payment Amount |
118035.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
186 |
Number Of Medical Services |
3691 |
Number Of Medicare Beneficiaries With Medical Services |
2516 |
Total Medical Submitted Charge Amount |
937077 |
Total Medical Medicare Allowed Amount |
154313.38 |
Total Medical Medicare Payment Amount |
116559.67 |
Total Medical Medicare Standardized Payment Amount |
118035.72 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
479 |
Number Of Beneficiaries Age 65 to 74 |
1052 |
Number Of Beneficiaries Age 75 to 84 |
671 |
Number Of Beneficiaries Age Greater 84 |
314 |
Number Of Female Beneficiaries |
1457 |
Number Of Male Beneficiaries |
1059 |
Number Of Non Hispanic White Beneficiaries |
1783 |
Number Of Black or African American Beneficiaries |
414 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
247 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
476 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0742 |