| National Provider Identifier [NPI]: | 1710093182 |
| Last Name Of The Provider | KIM |
| First Name Of The Provider | HANS |
| 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 | 4220 W 3RD ST |
| Street Address 2 Of The Provider | SUITE 206 |
| City Of The Provider | LOS ANGELES |
| Zip Code Of The Provider | 900203450 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 62 |
| Number Of Services | 11750 |
| Number Of Medicare Beneficiaries | 1181 |
| Total Submitted Charge Amount | 2661835 |
| Total Medicare Allowed Amount | 1631469.12 |
| Total Medicare Payment Amount | 1247986.95 |
| Total Medicare Standardized Payment Amount | 1061741.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 646 |
| Number Of Medicare Beneficiaries With Drug Services | 145 |
| Total Drug Submitted ChargeAmount | 166480 |
| Total Drug Medicare AllowedAmount | 69617.8 |
| Total Drug Medicare PaymentAmount | 54493.06 |
| Total Drug Medicare Standardized Payment Amount | 54493.06 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 58 |
| Number Of Medical Services | 11104 |
| Number Of Medicare Beneficiaries With Medical Services | 1181 |
| Total Medical Submitted Charge Amount | 2495355 |
| Total Medical Medicare Allowed Amount | 1561851.32 |
| Total Medical Medicare Payment Amount | 1193493.89 |
| Total Medical Medicare Standardized Payment Amount | 1007248.21 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 29 |
| Number Of Beneficiaries Age 65 to 74 | 494 |
| Number Of Beneficiaries Age 75 to 84 | 491 |
| Number Of Beneficiaries Age Greater 84 | 167 |
| Number Of Female Beneficiaries | 737 |
| Number Of Male Beneficiaries | 444 |
| Number Of Non Hispanic White Beneficiaries | |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 1074 |
| Number Of Hispanic Beneficiaries | 29 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 62 |
| Number Of Beneficiaries With Medicare Only Entitlement | 160 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1021 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 5 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 16 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 8 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 66 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 22 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 57 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.3309 |