National Provider Identifier [NPI]: |
1992759849 |
Last Name Of The Provider |
LIM |
First Name Of The Provider |
SUNG |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4949 S JACKSON RD |
Street Address 2 Of The Provider |
F |
City Of The Provider |
EDINBURG |
Zip Code Of The Provider |
785397200 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2487 |
Number Of Medicare Beneficiaries |
1031 |
Total Submitted Charge Amount |
513229 |
Total Medicare Allowed Amount |
244897.47 |
Total Medicare Payment Amount |
191730.22 |
Total Medicare Standardized Payment Amount |
197905.41 |
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 |
26 |
Number Of Medical Services |
2487 |
Number Of Medicare Beneficiaries With Medical Services |
1031 |
Total Medical Submitted Charge Amount |
513229 |
Total Medical Medicare Allowed Amount |
244897.47 |
Total Medical Medicare Payment Amount |
191730.22 |
Total Medical Medicare Standardized Payment Amount |
197905.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
331 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
559 |
Number Of Male Beneficiaries |
472 |
Number Of Non Hispanic White Beneficiaries |
204 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
814 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
337 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
694 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
43 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
64 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
72 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.1759 |