| National Provider Identifier [NPI]: | 1700844214 |
| Last Name Of The Provider | NDYAJUNWOHA |
| First Name Of The Provider | SARAH |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3033 EXCELSIOR BOULEVARD FAIRVIEW UPTOWN CLINIC |
| Street Address 2 Of The Provider | SUITE 275 |
| City Of The Provider | MINNEAPOLIS |
| Zip Code Of The Provider | 55416 |
| State Code Of The Provider | MN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 48 |
| Number Of Services | 449 |
| Number Of Medicare Beneficiaries | 53 |
| Total Submitted Charge Amount | 30935.5 |
| Total Medicare Allowed Amount | 13621.55 |
| Total Medicare Payment Amount | 10222.5 |
| Total Medicare Standardized Payment Amount | 10491.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 165 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 1060.5 |
| Total Drug Medicare AllowedAmount | 794.31 |
| Total Drug Medicare PaymentAmount | 770.17 |
| Total Drug Medicare Standardized Payment Amount | 770.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 43 |
| Number Of Medical Services | 284 |
| Number Of Medicare Beneficiaries With Medical Services | 52 |
| Total Medical Submitted Charge Amount | 29875 |
| Total Medical Medicare Allowed Amount | 12827.24 |
| Total Medical Medicare Payment Amount | 9452.33 |
| Total Medical Medicare Standardized Payment Amount | 9721.04 |
| Average Age Of Beneficiaries | 59 |
| Number Of Beneficiaries Age Less65 | 29 |
| Number Of Beneficiaries Age 65 to 74 | |
| Number Of Beneficiaries Age 75 to 84 | |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | |
| Number Of Male Beneficiaries | |
| Number Of Non Hispanic White Beneficiaries | 41 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 0 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 26 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 27 |
| Percent Of With Atrial Fibrillation | |
| Percent Of With Alzheimers Disease or Dementia | |
| Percent Of With Asthma | |
| Percent Of With Cancer | |
| Percent Of With Heart Failure | |
| Percent Of With Chronic Kidney Disease | |
| Percent Of With Chronic Obstructive Pulmonary Disease | |
| Percent Of With Depression | 49 |
| Percent Of With Diabetes | 23 |
| Percent Of With Hyperlipidemia | 21 |
| Percent Of With Hypertension | 28 |
| Percent Of With Ischemic Heart Disease | |
| Percent Of With Osteoporosis | |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 25 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | |
| Average HCC Risk Score Of Beneficiaries | 0.9885 |