| National Provider Identifier [NPI]: | 1437187333 |
| Last Name Of The Provider | KIM |
| First Name Of The Provider | MIN |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2600 FIFTH STREET, NORTH |
| Street Address 2 Of The Provider | |
| City Of The Provider | COLUMBUS |
| Zip Code Of The Provider | 39705 |
| State Code Of The Provider | MS |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 50 |
| Number Of Services | 9252 |
| Number Of Medicare Beneficiaries | 4269 |
| Total Submitted Charge Amount | 789467.11 |
| Total Medicare Allowed Amount | 270603.83 |
| Total Medicare Payment Amount | 195425.87 |
| Total Medicare Standardized Payment Amount | 214199.37 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 12 |
| Number Of Drug Services | 146 |
| Number Of Medicare Beneficiaries With Drug Services | 111 |
| Total Drug Submitted ChargeAmount | 3190.11 |
| Total Drug Medicare AllowedAmount | 1891.28 |
| Total Drug Medicare PaymentAmount | 1848.56 |
| Total Drug Medicare Standardized Payment Amount | 1848.56 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 38 |
| Number Of Medical Services | 9106 |
| Number Of Medicare Beneficiaries With Medical Services | 4269 |
| Total Medical Submitted Charge Amount | 786277 |
| Total Medical Medicare Allowed Amount | 268712.55 |
| Total Medical Medicare Payment Amount | 193577.31 |
| Total Medical Medicare Standardized Payment Amount | 212350.81 |
| Average Age Of Beneficiaries | 71 |
| Number Of Beneficiaries Age Less65 | 1043 |
| Number Of Beneficiaries Age 65 to 74 | 1445 |
| Number Of Beneficiaries Age 75 to 84 | 1207 |
| Number Of Beneficiaries Age Greater 84 | 574 |
| Number Of Female Beneficiaries | 2460 |
| Number Of Male Beneficiaries | 1809 |
| Number Of Non Hispanic White Beneficiaries | 2640 |
| Number Of Black or African American Beneficiaries | 1596 |
| 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 | 14 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2571 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1698 |
| Percent Of With Atrial Fibrillation | 15 |
| Percent Of With Alzheimers Disease or Dementia | 15 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 23 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 60 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 1.5989 |