National Provider Identifier [NPI]: |
1639277130 |
Last Name Of The Provider |
KO |
First Name Of The Provider |
YOUNG |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
44215 15TH ST WEST |
Street Address 2 Of The Provider |
SUITE 303 |
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
93534 |
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 |
64 |
Number Of Services |
11063 |
Number Of Medicare Beneficiaries |
897 |
Total Submitted Charge Amount |
1528195 |
Total Medicare Allowed Amount |
872385.82 |
Total Medicare Payment Amount |
657578.65 |
Total Medicare Standardized Payment Amount |
615567.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1395 |
Number Of Medicare Beneficiaries With Drug Services |
301 |
Total Drug Submitted ChargeAmount |
19650 |
Total Drug Medicare AllowedAmount |
4156.53 |
Total Drug Medicare PaymentAmount |
3545.9 |
Total Drug Medicare Standardized Payment Amount |
3545.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
9668 |
Number Of Medicare Beneficiaries With Medical Services |
897 |
Total Medical Submitted Charge Amount |
1508545 |
Total Medical Medicare Allowed Amount |
868229.29 |
Total Medical Medicare Payment Amount |
654032.75 |
Total Medical Medicare Standardized Payment Amount |
612021.64 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
315 |
Number Of Beneficiaries Age 75 to 84 |
301 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
512 |
Number Of Male Beneficiaries |
385 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
108 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
588 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
48 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
43 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
2.0072 |