National Provider Identifier [NPI]: |
1114007747 |
Last Name Of The Provider |
YOON |
First Name Of The Provider |
LUKE |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 S HOBART BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900203635 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
7752 |
Number Of Medicare Beneficiaries |
1498 |
Total Submitted Charge Amount |
708445 |
Total Medicare Allowed Amount |
665389.12 |
Total Medicare Payment Amount |
495743.24 |
Total Medicare Standardized Payment Amount |
462882.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1020 |
Number Of Medicare Beneficiaries With Drug Services |
163 |
Total Drug Submitted ChargeAmount |
67942 |
Total Drug Medicare AllowedAmount |
49300.37 |
Total Drug Medicare PaymentAmount |
38020.19 |
Total Drug Medicare Standardized Payment Amount |
38020.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
6732 |
Number Of Medicare Beneficiaries With Medical Services |
1498 |
Total Medical Submitted Charge Amount |
640503 |
Total Medical Medicare Allowed Amount |
616088.75 |
Total Medical Medicare Payment Amount |
457723.05 |
Total Medical Medicare Standardized Payment Amount |
424862.68 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
749 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
1202 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1393 |
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
72 |
Number Of Beneficiaries With Medicare Only Entitlement |
241 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1257 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
65 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2246 |