National Provider Identifier [NPI]: |
1720050529 |
Last Name Of The Provider |
KANG |
First Name Of The Provider |
YOUNG |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5725 W LAS POSITAS BLVD |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
PLEASANTON |
Zip Code Of The Provider |
945884054 |
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 |
89 |
Number Of Services |
7691 |
Number Of Medicare Beneficiaries |
1094 |
Total Submitted Charge Amount |
1826087 |
Total Medicare Allowed Amount |
746056.04 |
Total Medicare Payment Amount |
562830.13 |
Total Medicare Standardized Payment Amount |
509905.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
244 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
106911 |
Total Drug Medicare AllowedAmount |
29403.15 |
Total Drug Medicare PaymentAmount |
23032.8 |
Total Drug Medicare Standardized Payment Amount |
23032.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
7447 |
Number Of Medicare Beneficiaries With Medical Services |
1094 |
Total Medical Submitted Charge Amount |
1719176 |
Total Medical Medicare Allowed Amount |
716652.89 |
Total Medical Medicare Payment Amount |
539797.33 |
Total Medical Medicare Standardized Payment Amount |
486872.62 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
389 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
343 |
Number Of Male Beneficiaries |
751 |
Number Of Non Hispanic White Beneficiaries |
832 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
118 |
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
932 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2902 |