National Provider Identifier [NPI]: |
1184883308 |
Last Name Of The Provider |
DUONG |
First Name Of The Provider |
DAVID |
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 |
3456 BETHLEHEM PIKE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUDERTON |
Zip Code Of The Provider |
189641051 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
18 |
Number Of Services |
1830 |
Number Of Medicare Beneficiaries |
232 |
Total Submitted Charge Amount |
271393 |
Total Medicare Allowed Amount |
183666.21 |
Total Medicare Payment Amount |
142052.64 |
Total Medicare Standardized Payment Amount |
126254.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1378 |
Total Drug Medicare AllowedAmount |
982.26 |
Total Drug Medicare PaymentAmount |
961.49 |
Total Drug Medicare Standardized Payment Amount |
961.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
1793 |
Number Of Medicare Beneficiaries With Medical Services |
232 |
Total Medical Submitted Charge Amount |
270015 |
Total Medical Medicare Allowed Amount |
182683.95 |
Total Medical Medicare Payment Amount |
141091.15 |
Total Medical Medicare Standardized Payment Amount |
125293.12 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
200 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
115 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.0433 |