| National Provider Identifier [NPI]: | 1215953914 |
| Last Name Of The Provider | OH |
| First Name Of The Provider | YEONG |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 301 ST PAUL PL |
| Street Address 2 Of The Provider | PHYS OFFICE BLDG., SUITE 422 |
| City Of The Provider | BALTIMORE |
| Zip Code Of The Provider | 212642026 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 41 |
| Number Of Services | 7212 |
| Number Of Medicare Beneficiaries | 800 |
| Total Submitted Charge Amount | 752611.1 |
| Total Medicare Allowed Amount | 446806.66 |
| Total Medicare Payment Amount | 314117.42 |
| Total Medicare Standardized Payment Amount | 297054.35 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 746 |
| Number Of Medicare Beneficiaries With Drug Services | 575 |
| Total Drug Submitted ChargeAmount | 46602.43 |
| Total Drug Medicare AllowedAmount | 21997.76 |
| Total Drug Medicare PaymentAmount | 21319.97 |
| Total Drug Medicare Standardized Payment Amount | 21319.97 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 31 |
| Number Of Medical Services | 6466 |
| Number Of Medicare Beneficiaries With Medical Services | 800 |
| Total Medical Submitted Charge Amount | 706008.67 |
| Total Medical Medicare Allowed Amount | 424808.9 |
| Total Medical Medicare Payment Amount | 292797.45 |
| Total Medical Medicare Standardized Payment Amount | 275734.38 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 26 |
| Number Of Beneficiaries Age 65 to 74 | 346 |
| Number Of Beneficiaries Age 75 to 84 | 313 |
| Number Of Beneficiaries Age Greater 84 | 115 |
| Number Of Female Beneficiaries | 488 |
| Number Of Male Beneficiaries | 312 |
| Number Of Non Hispanic White Beneficiaries | 259 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 454 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 47 |
| Number Of Beneficiaries With Medicare Only Entitlement | 502 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 298 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 3 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 7 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 7 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 46 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 20 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 28 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9618 |