National Provider Identifier [NPI]: |
1508066473 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
HOOBY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
744 W 9TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TULSA |
Zip Code Of The Provider |
741279020 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
202 |
Number Of Services |
5748 |
Number Of Medicare Beneficiaries |
3963 |
Total Submitted Charge Amount |
517922.23 |
Total Medicare Allowed Amount |
146456.27 |
Total Medicare Payment Amount |
108638.08 |
Total Medicare Standardized Payment Amount |
114972.84 |
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 |
202 |
Number Of Medical Services |
5748 |
Number Of Medicare Beneficiaries With Medical Services |
3963 |
Total Medical Submitted Charge Amount |
517922.23 |
Total Medical Medicare Allowed Amount |
146456.27 |
Total Medical Medicare Payment Amount |
108638.08 |
Total Medical Medicare Standardized Payment Amount |
114972.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
929 |
Number Of Beneficiaries Age 65 to 74 |
1463 |
Number Of Beneficiaries Age 75 to 84 |
1099 |
Number Of Beneficiaries Age Greater 84 |
472 |
Number Of Female Beneficiaries |
2451 |
Number Of Male Beneficiaries |
1512 |
Number Of Non Hispanic White Beneficiaries |
2856 |
Number Of Black or African American Beneficiaries |
183 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
857 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
2673 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1290 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5071 |