Medicare Facts for Dr. Jeung H. Kim, OD


National Provider Identifier [NPI]: 1205128360
Last Name Of The Provider KIM
First Name Of The Provider JEUNG
Middle Initial Of The Provider H
Credentials Of The Provider OD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 1225 MADISON AVE
Street Address 2 Of The Provider
City Of The Provider MEMPHIS
Zip Code Of The Provider 381042211
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 18
Number Of Services 162
Number Of Medicare Beneficiaries 107
Total Submitted Charge Amount 12367
Total Medicare Allowed Amount 12102.29
Total Medicare Payment Amount 7779.07
Total Medicare Standardized Payment Amount 10097.13
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 18
Number Of Medical Services 162
Number Of Medicare Beneficiaries With Medical Services 107
Total Medical Submitted Charge Amount 12367
Total Medical Medicare Allowed Amount 12102.29
Total Medical Medicare Payment Amount 7779.07
Total Medical Medicare Standardized Payment Amount 10097.13
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 33
Number Of Beneficiaries Age 65 to 74 48
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 66
Number Of Male Beneficiaries 41
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 90
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 56
Number Of Beneficiaries With Medicare Medicaid Entitlement 51
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 16
Percent Of With Diabetes 53
Percent Of With Hyperlipidemia 49
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2139

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