| National Provider Identifier [NPI]: | 1285732370 |
| Last Name Of The Provider | BAIK |
| First Name Of The Provider | SANG |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3663 W 6TH ST |
| Street Address 2 Of The Provider | SUITE 106 |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900203049 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 56 |
| Number Of Services | 27698 |
| Number Of Medicare Beneficiaries | 1749 |
| Total Submitted Charge Amount | 2117993 |
| Total Medicare Allowed Amount | 1901082.58 |
| Total Medicare Payment Amount | 1478695.92 |
| Total Medicare Standardized Payment Amount | 1357682.91 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 1874 |
| Number Of Medicare Beneficiaries With Drug Services | 1321 |
| Total Drug Submitted ChargeAmount | 52365 |
| Total Drug Medicare AllowedAmount | 33228.17 |
| Total Drug Medicare PaymentAmount | 32422.54 |
| Total Drug Medicare Standardized Payment Amount | 32422.54 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 45 |
| Number Of Medical Services | 25824 |
| Number Of Medicare Beneficiaries With Medical Services | 1749 |
| Total Medical Submitted Charge Amount | 2065628 |
| Total Medical Medicare Allowed Amount | 1867854.41 |
| Total Medical Medicare Payment Amount | 1446273.38 |
| Total Medical Medicare Standardized Payment Amount | 1325260.37 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 23 |
| Number Of Beneficiaries Age 65 to 74 | 588 |
| Number Of Beneficiaries Age 75 to 84 | 856 |
| Number Of Beneficiaries Age Greater 84 | 282 |
| Number Of Female Beneficiaries | 1172 |
| Number Of Male Beneficiaries | 577 |
| Number Of Non Hispanic White Beneficiaries | 13 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 1659 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 66 |
| Number Of Beneficiaries With Medicare Only Entitlement | 160 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1589 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 16 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 5 |
| Percent Of With Heart Failure | 8 |
| Percent Of With Chronic Kidney Disease | 9 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 5 |
| Percent Of With Depression | 6 |
| Percent Of With Diabetes | 75 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 48 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 24 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1722 |