| National Provider Identifier [NPI]: | 1962501833 |
| Last Name Of The Provider | KEYOUNG |
| First Name Of The Provider | JINSOO |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | ONE HOAG DRIVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | NEWPORT BEACH |
| Zip Code Of The Provider | 926634162 |
| 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 | 211 |
| Number Of Services | 6968 |
| Number Of Medicare Beneficiaries | 3886 |
| Total Submitted Charge Amount | 978642.1 |
| Total Medicare Allowed Amount | 249543.96 |
| Total Medicare Payment Amount | 188429.7 |
| Total Medicare Standardized Payment Amount | 177370.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 1043 |
| Number Of Medicare Beneficiaries With Drug Services | 13 |
| Total Drug Submitted ChargeAmount | 2182 |
| Total Drug Medicare AllowedAmount | 235.65 |
| Total Drug Medicare PaymentAmount | 184.76 |
| Total Drug Medicare Standardized Payment Amount | 184.76 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 208 |
| Number Of Medical Services | 5925 |
| Number Of Medicare Beneficiaries With Medical Services | 3886 |
| Total Medical Submitted Charge Amount | 976460.1 |
| Total Medical Medicare Allowed Amount | 249308.31 |
| Total Medical Medicare Payment Amount | 188244.94 |
| Total Medical Medicare Standardized Payment Amount | 177185.99 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 282 |
| Number Of Beneficiaries Age 65 to 74 | 1415 |
| Number Of Beneficiaries Age 75 to 84 | 1354 |
| Number Of Beneficiaries Age Greater 84 | 835 |
| Number Of Female Beneficiaries | 2215 |
| Number Of Male Beneficiaries | 1671 |
| Number Of Non Hispanic White Beneficiaries | 3296 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 315 |
| Number Of Hispanic Beneficiaries | 142 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 92 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3299 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 587 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 22 |
| Percent Of With Heart Failure | 29 |
| Percent Of With Chronic Kidney Disease | 35 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.7839 |