National Provider Identifier [NPI]: |
1730178369 |
Last Name Of The Provider |
YOUN |
First Name Of The Provider |
ELISABETH |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1711 W TEMPLE ST |
Street Address 2 Of The Provider |
SUITE 5606 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900265421 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1632 |
Number Of Medicare Beneficiaries |
480 |
Total Submitted Charge Amount |
137410 |
Total Medicare Allowed Amount |
87124.79 |
Total Medicare Payment Amount |
66364.08 |
Total Medicare Standardized Payment Amount |
60975.69 |
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 |
34 |
Number Of Medical Services |
1632 |
Number Of Medicare Beneficiaries With Medical Services |
480 |
Total Medical Submitted Charge Amount |
137410 |
Total Medical Medicare Allowed Amount |
87124.79 |
Total Medical Medicare Payment Amount |
66364.08 |
Total Medical Medicare Standardized Payment Amount |
60975.69 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
105 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
182 |
Number Of Non Hispanic White Beneficiaries |
190 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
115 |
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
352 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
52 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.135 |