National Provider Identifier [NPI]: |
1518928829 |
Last Name Of The Provider |
KOK |
First Name Of The Provider |
YIH |
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 |
506 W VALLEY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN GABRIEL |
Zip Code Of The Provider |
917763731 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
17678 |
Number Of Medicare Beneficiaries |
1518 |
Total Submitted Charge Amount |
1585412 |
Total Medicare Allowed Amount |
833061.38 |
Total Medicare Payment Amount |
624936.26 |
Total Medicare Standardized Payment Amount |
577177.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
9707 |
Number Of Medicare Beneficiaries With Drug Services |
248 |
Total Drug Submitted ChargeAmount |
63172 |
Total Drug Medicare AllowedAmount |
25134.22 |
Total Drug Medicare PaymentAmount |
19705.32 |
Total Drug Medicare Standardized Payment Amount |
19705.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
7971 |
Number Of Medicare Beneficiaries With Medical Services |
1518 |
Total Medical Submitted Charge Amount |
1522240 |
Total Medical Medicare Allowed Amount |
807927.16 |
Total Medical Medicare Payment Amount |
605230.94 |
Total Medical Medicare Standardized Payment Amount |
557472.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
462 |
Number Of Beneficiaries Age 75 to 84 |
580 |
Number Of Beneficiaries Age Greater 84 |
318 |
Number Of Female Beneficiaries |
793 |
Number Of Male Beneficiaries |
725 |
Number Of Non Hispanic White Beneficiaries |
96 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1039 |
Number Of Hispanic Beneficiaries |
337 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
163 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1355 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2303 |