HYUNGMIN KANG MD NPI 1134198278

Radiology (Diagnostic Radiology) in Rockford, IL

NPI 1134198278 Individual Male Years of Experience 22 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 100

About HYUNGMIN KANG

Hyungmin Kang is a provider established in Rockford, Illinois and his medical specialization is radiology (diagnostic radiology) with more than 22 years of experience. The NPI number of Hyungmin Kang is 1134198278 and was assigned on March 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

Hyungmin Kang is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Hyungmin Kang is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Swedish American Hospital and Javon Bea Hospital.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $22.01 for a new patient copayment and $17.85 for an established patient copayment.

NPI

1134198278

Provider Name HYUNGMIN KANG MD
Provider Location Address1401 E STATE ST ROCKFORD, IL 61104
Provider Mailing Address1401 E STATE ST ROCKFORD, IL 61104
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date03-14-2006
Last Update Date12-20-2007


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License StateIL
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

HYUNGMIN KANG MD
1401 E STATE ST
ROCKFORD, IL
ZIP 61104
Phone: (815) 489-4760

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Mailing Address

HYUNGMIN KANG MD
1401 E STATE ST
ROCKFORD, IL
ZIP 61104
Phone: (815) 489-4760



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7719906700
PECOS Enrollment IDI20051118000609
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 61104 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$56.93 $174.63 $88.05
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.23 $43.65 $22.01
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.32 $142.11 $71.4
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.33 $35.52 $17.85

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 99.8
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% N/A
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1126X-ray of chest, 1 view, front (HCPCS:71010)
  • 295CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 268X-ray of abdomen, single view (HCPCS:74000)
  • 146Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 142CT scan of abdomen and pelvis (HCPCS:74176)
  • 130Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • 103X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 98Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • 80X-ray of knee, 4 or more views (HCPCS:73564)
  • 73X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 65X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 52X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 46Ultrasound of head and neck (HCPCS:76536)
  • 33X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 30X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 30Ultrasound guidance for accessing into blood vessel (HCPCS:76937)
  • 30Fluoroscopic guidance for insertion, replacement or removal of central venous access device (HCPCS:77001)
  • 27Nuclear medicine study with CT imaging whole body (HCPCS:78816)
  • 24Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • 21Bone and/or joint imaging, whole body (HCPCS:78306)
  • 20Ultrasound pelvis through vagina (HCPCS:76830)
  • 18Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 13X-ray of fingers, minimum of 2 views (HCPCS:73140)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Hyungmin Kang is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SWEDISH AMERICAN HOSPITAL1401 EAST STATE STREET
ROCKFORD, IL 61104
(815) 968-4400Acute Care Hospitals140228
JAVON BEA HOSPITAL2400 NORTH ROCKTON AVENUE
ROCKFORD, IL 61103
(815) 968-6861Acute Care Hospitals140239

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
K22728MEDICARE PIN (08)
I45525MEDICARE UPIN (02)
P00253656MEDICARE PIN (08)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013985647RADIOLOGY CONSULTANTS OF ROCKFORD, LTD.
Organization
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4760
1174591663 RIMVYDAS GILVYDIS MD
Individual
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4760
1831168962 STEPHEN BERNSTEN MD
Individual
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4760
1861461915 FRANK BONELLI MD
Individual
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4760
1982661955 MARTIN ANYEBUNO M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4177
1033163720 MARTIN BUTLER MD
Individual
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(888) 696-7820
1982658217 EDWARD STEFFEN MD
Individual
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(888) 696-7820
1760436059 MARC BERNSTEIN MD
Individual
Radiology (Diagnostic Radiology)1401 E STATE ST
ROCKFORD, IL 61104
(888) 696-7820
1134141773 VIRENDRA SAXENA
Individual
Radiology (Radiation Oncology)1401 E STATE ST
ROCKFORD, IL 61104
(815) 961-2030
1407990708 LAURIE ANN PODESZWA APRN
Individual
Nurse Practitioner (Family)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4891
1205960705MRS. SHIRLEY JEAN POOLE RD CSP LDN
Individual
Dietitian, Registered (Nutrition, Pediatric)1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4667
1033230016 HEATHER R FREY N.P.
Individual
Nurse Practitioner1401 E STATE ST
ROCKFORD, IL 61104
(414) 290-6720
1295857845 CARMEN SHAFE JORDAN M.A., CCC-SLP
Individual
Speech-Language Pathologist1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1811019433MISS TIFFANY VICTORIA SEGUIN O.T.
Individual
Occupational Therapist1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1891918819MRS. JENNIFER ANNE SCOTT MS CCC SLP L
Individual
Speech-Language Pathologist1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1801019369MRS. JOANNE LYNN REYNOLDS OTR
Individual
Occupational Therapist1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1780802074 LACRISHA NICOLE WHEELER PTA
Individual
Physical Therapy Assistant1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1447472964 JULIE ANN PICK MA CCC SLP
Individual
Speech-Language Pathologist1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1104039817MRS. TRICIA KATE SAWYER MA CCC SLP
Individual
Speech-Language Pathologist1401 E STATE ST
ROCKFORD, IL 61104
(815) 489-4470
1366658916MISS DONNA JEAN OYSTON NP
Individual
Nurse Practitioner1401 E STATE ST
ROCKFORD, IL 61104
(815) 315-6130

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.