National Provider Identifier [NPI]: |
1649492711 |
Last Name Of The Provider |
AHN |
First Name Of The Provider |
BYUNG-JOON |
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 |
43309 US HIGHWAY 19 N |
Street Address 2 Of The Provider |
|
City Of The Provider |
TARPON SPRINGS |
Zip Code Of The Provider |
346896221 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
15846 |
Number Of Medicare Beneficiaries |
1111 |
Total Submitted Charge Amount |
2057890 |
Total Medicare Allowed Amount |
1537553.67 |
Total Medicare Payment Amount |
1169745.29 |
Total Medicare Standardized Payment Amount |
1181685.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2179 |
Number Of Medicare Beneficiaries With Drug Services |
63 |
Total Drug Submitted ChargeAmount |
611066 |
Total Drug Medicare AllowedAmount |
449082.61 |
Total Drug Medicare PaymentAmount |
352080.15 |
Total Drug Medicare Standardized Payment Amount |
352080.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
13667 |
Number Of Medicare Beneficiaries With Medical Services |
1111 |
Total Medical Submitted Charge Amount |
1446824 |
Total Medical Medicare Allowed Amount |
1088471.06 |
Total Medical Medicare Payment Amount |
817665.14 |
Total Medical Medicare Standardized Payment Amount |
829605.84 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
308 |
Number Of Beneficiaries Age 75 to 84 |
422 |
Number Of Beneficiaries Age Greater 84 |
331 |
Number Of Female Beneficiaries |
669 |
Number Of Male Beneficiaries |
442 |
Number Of Non Hispanic White Beneficiaries |
1006 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
996 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.505 |