National Provider Identifier [NPI]: |
1871695346 |
Last Name Of The Provider |
MIN |
First Name Of The Provider |
YOON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21060 CENTRE POINTE PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA CLARITA |
Zip Code Of The Provider |
913502976 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
27838 |
Number Of Medicare Beneficiaries |
285 |
Total Submitted Charge Amount |
1192368.5 |
Total Medicare Allowed Amount |
676125.4 |
Total Medicare Payment Amount |
530789.48 |
Total Medicare Standardized Payment Amount |
493897.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
20611 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
448507.5 |
Total Drug Medicare AllowedAmount |
327786.21 |
Total Drug Medicare PaymentAmount |
256804.61 |
Total Drug Medicare Standardized Payment Amount |
256804.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
7227 |
Number Of Medicare Beneficiaries With Medical Services |
285 |
Total Medical Submitted Charge Amount |
743861 |
Total Medical Medicare Allowed Amount |
348339.19 |
Total Medical Medicare Payment Amount |
273984.87 |
Total Medical Medicare Standardized Payment Amount |
237092.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
115 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
217 |
Number Of Male Beneficiaries |
68 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
36 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5634 |