| National Provider Identifier [NPI]: | 1992709471 |
| Last Name Of The Provider | KANG |
| First Name Of The Provider | HYUNG-CHIL |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1668 S US HIGHWAY 421 |
| Street Address 2 Of The Provider | |
| City Of The Provider | WESTVILLE |
| Zip Code Of The Provider | 463919523 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Hematology/Oncology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 145 |
| Number Of Services | 564360 |
| Number Of Medicare Beneficiaries | 805 |
| Total Submitted Charge Amount | 21439121 |
| Total Medicare Allowed Amount | 7529142.63 |
| Total Medicare Payment Amount | 5850938.05 |
| Total Medicare Standardized Payment Amount | 5882024.54 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 76 |
| Number Of Drug Services | 551965 |
| Number Of Medicare Beneficiaries With Drug Services | 430 |
| Total Drug Submitted ChargeAmount | 15377382 |
| Total Drug Medicare AllowedAmount | 5894957.35 |
| Total Drug Medicare PaymentAmount | 4584459.22 |
| Total Drug Medicare Standardized Payment Amount | 4584459.22 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 69 |
| Number Of Medical Services | 12395 |
| Number Of Medicare Beneficiaries With Medical Services | 804 |
| Total Medical Submitted Charge Amount | 6061739 |
| Total Medical Medicare Allowed Amount | 1634185.28 |
| Total Medical Medicare Payment Amount | 1266478.83 |
| Total Medical Medicare Standardized Payment Amount | 1297565.32 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 98 |
| Number Of Beneficiaries Age 65 to 74 | 325 |
| Number Of Beneficiaries Age 75 to 84 | 281 |
| Number Of Beneficiaries Age Greater 84 | 101 |
| Number Of Female Beneficiaries | 484 |
| Number Of Male Beneficiaries | 321 |
| Number Of Non Hispanic White Beneficiaries | 769 |
| Number Of Black or African American Beneficiaries | 16 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 680 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 125 |
| Percent Of With Atrial Fibrillation | 14 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 48 |
| Percent Of With Heart Failure | 24 |
| Percent Of With Chronic Kidney Disease | 30 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 23 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 43 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.9995 |