National Provider Identifier [NPI]: |
1881898104 |
Last Name Of The Provider |
CHUNG |
First Name Of The Provider |
YOUNHO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
719 CAPITAL AVE SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATTLE CREEK |
Zip Code Of The Provider |
490155023 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
63 |
Number Of Services |
9055 |
Number Of Medicare Beneficiaries |
1034 |
Total Submitted Charge Amount |
966720 |
Total Medicare Allowed Amount |
669611.76 |
Total Medicare Payment Amount |
501790.88 |
Total Medicare Standardized Payment Amount |
522214.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
610 |
Number Of Medicare Beneficiaries With Drug Services |
473 |
Total Drug Submitted ChargeAmount |
19470 |
Total Drug Medicare AllowedAmount |
8572.6 |
Total Drug Medicare PaymentAmount |
8268 |
Total Drug Medicare Standardized Payment Amount |
8268 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
8445 |
Number Of Medicare Beneficiaries With Medical Services |
1034 |
Total Medical Submitted Charge Amount |
947250 |
Total Medical Medicare Allowed Amount |
661039.16 |
Total Medical Medicare Payment Amount |
493522.88 |
Total Medical Medicare Standardized Payment Amount |
513946.72 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
301 |
Number Of Beneficiaries Age 75 to 84 |
318 |
Number Of Beneficiaries Age Greater 84 |
321 |
Number Of Female Beneficiaries |
621 |
Number Of Male Beneficiaries |
413 |
Number Of Non Hispanic White Beneficiaries |
909 |
Number Of Black or African American Beneficiaries |
84 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
746 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6459 |