National Provider Identifier [NPI]: |
1871601062 |
Last Name Of The Provider |
RHEE |
First Name Of The Provider |
SUYON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1101B S 28TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394022610 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
6897 |
Number Of Medicare Beneficiaries |
2540 |
Total Submitted Charge Amount |
628036 |
Total Medicare Allowed Amount |
362489.74 |
Total Medicare Payment Amount |
250918.25 |
Total Medicare Standardized Payment Amount |
281396.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
189 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
1941 |
Total Drug Medicare AllowedAmount |
1090.08 |
Total Drug Medicare PaymentAmount |
790.96 |
Total Drug Medicare Standardized Payment Amount |
790.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
6708 |
Number Of Medicare Beneficiaries With Medical Services |
2540 |
Total Medical Submitted Charge Amount |
626095 |
Total Medical Medicare Allowed Amount |
361399.66 |
Total Medical Medicare Payment Amount |
250127.29 |
Total Medical Medicare Standardized Payment Amount |
280605.67 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
520 |
Number Of Beneficiaries Age 65 to 74 |
949 |
Number Of Beneficiaries Age 75 to 84 |
711 |
Number Of Beneficiaries Age Greater 84 |
360 |
Number Of Female Beneficiaries |
1514 |
Number Of Male Beneficiaries |
1026 |
Number Of Non Hispanic White Beneficiaries |
1741 |
Number Of Black or African American Beneficiaries |
765 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1723 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
817 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8213 |