| National Provider Identifier [NPI]: | 1134153653 |
| Last Name Of The Provider | KIM |
| First Name Of The Provider | SEUNG |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3663 W 6TH ST |
| Street Address 2 Of The Provider | SUITE 206 |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900203049 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Geriatric Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 41 |
| Number Of Services | 9730 |
| Number Of Medicare Beneficiaries | 737 |
| Total Submitted Charge Amount | 538774.22 |
| Total Medicare Allowed Amount | 504190.83 |
| Total Medicare Payment Amount | 396579.7 |
| Total Medicare Standardized Payment Amount | 360358.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 7 |
| Number Of Drug Services | 547 |
| Number Of Medicare Beneficiaries With Drug Services | 450 |
| Total Drug Submitted ChargeAmount | 10400 |
| Total Drug Medicare AllowedAmount | 5604.16 |
| Total Drug Medicare PaymentAmount | 5453.26 |
| Total Drug Medicare Standardized Payment Amount | 5453.26 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 34 |
| Number Of Medical Services | 9183 |
| Number Of Medicare Beneficiaries With Medical Services | 737 |
| Total Medical Submitted Charge Amount | 528374.22 |
| Total Medical Medicare Allowed Amount | 498586.67 |
| Total Medical Medicare Payment Amount | 391126.44 |
| Total Medical Medicare Standardized Payment Amount | 354905.43 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | |
| Number Of Beneficiaries Age 65 to 74 | 346 |
| Number Of Beneficiaries Age 75 to 84 | 308 |
| Number Of Beneficiaries Age Greater 84 | |
| Number Of Female Beneficiaries | 425 |
| Number Of Male Beneficiaries | 312 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | 0 |
| Number Of AsianPacific Islander Beneficiaries | 700 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 97 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 640 |
| Percent Of With Atrial Fibrillation | 6 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 3 |
| Percent Of With Heart Failure | 8 |
| Percent Of With Chronic Kidney Disease | 9 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 5 |
| Percent Of With Depression | 6 |
| Percent Of With Diabetes | 41 |
| Percent Of With Hyperlipidemia | 31 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 33 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 56 |
| Percent Of With Schizophrenia Other PsychoticDisorders | |
| Percent Of With Stroke | 2 |
| Average HCC Risk Score Of Beneficiaries | 1.0051 |