National Provider Identifier [NPI]: |
1558391672 |
Last Name Of The Provider |
OH |
First Name Of The Provider |
EUN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
760 E PUSCH VIEW LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORO VALLEY |
Zip Code Of The Provider |
857379235 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
191 |
Number Of Services |
21463 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
1013851.15 |
Total Medicare Allowed Amount |
497671.84 |
Total Medicare Payment Amount |
411129.17 |
Total Medicare Standardized Payment Amount |
418921.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
5484 |
Number Of Medicare Beneficiaries With Drug Services |
222 |
Total Drug Submitted ChargeAmount |
23797.5 |
Total Drug Medicare AllowedAmount |
8803.14 |
Total Drug Medicare PaymentAmount |
8069.64 |
Total Drug Medicare Standardized Payment Amount |
8069.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
181 |
Number Of Medical Services |
15979 |
Number Of Medicare Beneficiaries With Medical Services |
557 |
Total Medical Submitted Charge Amount |
990053.65 |
Total Medical Medicare Allowed Amount |
488868.7 |
Total Medical Medicare Payment Amount |
403059.53 |
Total Medical Medicare Standardized Payment Amount |
410852.25 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
174 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
434 |
Number Of Male Beneficiaries |
123 |
Number Of Non Hispanic White Beneficiaries |
530 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
51 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8143 |