National Provider Identifier [NPI]: |
1700812211 |
Last Name Of The Provider |
KWUN |
First Name Of The Provider |
SOON |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D.,F.A.C.C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3131 SANTA ANITA AVE STE 105 |
Street Address 2 Of The Provider |
|
City Of The Provider |
EL MONTE |
Zip Code Of The Provider |
917331369 |
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 |
23 |
Number Of Services |
3025 |
Number Of Medicare Beneficiaries |
755 |
Total Submitted Charge Amount |
191285 |
Total Medicare Allowed Amount |
158072.23 |
Total Medicare Payment Amount |
119697.69 |
Total Medicare Standardized Payment Amount |
125711.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
43 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1190 |
Total Drug Medicare AllowedAmount |
680.46 |
Total Drug Medicare PaymentAmount |
666.17 |
Total Drug Medicare Standardized Payment Amount |
666.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2982 |
Number Of Medicare Beneficiaries With Medical Services |
755 |
Total Medical Submitted Charge Amount |
190095 |
Total Medical Medicare Allowed Amount |
157391.77 |
Total Medical Medicare Payment Amount |
119031.52 |
Total Medical Medicare Standardized Payment Amount |
125045.82 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
177 |
Number Of Beneficiaries Age 75 to 84 |
252 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
416 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
132 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
106 |
Number Of Hispanic Beneficiaries |
488 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
146 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
609 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
69 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
3.1999 |