| National Provider Identifier [NPI]: | 1811164577 |
| Last Name Of The Provider | KANG |
| First Name Of The Provider | JIMMY |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 W CALIFORNIA BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | PASADENA |
| Zip Code Of The Provider | 911053010 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 163 |
| Number Of Services | 23022 |
| Number Of Medicare Beneficiaries | 2932 |
| Total Submitted Charge Amount | 2017993.2 |
| Total Medicare Allowed Amount | 430963.44 |
| Total Medicare Payment Amount | 323229.99 |
| Total Medicare Standardized Payment Amount | 292958.62 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 18658 |
| Number Of Medicare Beneficiaries With Drug Services | 230 |
| Total Drug Submitted ChargeAmount | 24832.2 |
| Total Drug Medicare AllowedAmount | 6582.18 |
| Total Drug Medicare PaymentAmount | 5115.17 |
| Total Drug Medicare Standardized Payment Amount | 5115.17 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 159 |
| Number Of Medical Services | 4364 |
| Number Of Medicare Beneficiaries With Medical Services | 2932 |
| Total Medical Submitted Charge Amount | 1993161 |
| Total Medical Medicare Allowed Amount | 424381.26 |
| Total Medical Medicare Payment Amount | 318114.82 |
| Total Medical Medicare Standardized Payment Amount | 287843.45 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 397 |
| Number Of Beneficiaries Age 65 to 74 | 1017 |
| Number Of Beneficiaries Age 75 to 84 | 906 |
| Number Of Beneficiaries Age Greater 84 | 612 |
| Number Of Female Beneficiaries | 1734 |
| Number Of Male Beneficiaries | 1198 |
| Number Of Non Hispanic White Beneficiaries | 1791 |
| Number Of Black or African American Beneficiaries | 289 |
| Number Of AsianPacific Islander Beneficiaries | 301 |
| Number Of Hispanic Beneficiaries | 475 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1879 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1053 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 31 |
| Percent Of With Chronic Kidney Disease | 37 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 53 |
| Percent Of With Osteoporosis | 16 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 60 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 10 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9801 |