National Provider Identifier [NPI]: |
1538181763 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
HUNG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10900 WESTMINSTER AVE STE 3 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GARDEN GROVE |
Zip Code Of The Provider |
928434984 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
3825 |
Number Of Medicare Beneficiaries |
534 |
Total Submitted Charge Amount |
408041 |
Total Medicare Allowed Amount |
357121.42 |
Total Medicare Payment Amount |
252549.3 |
Total Medicare Standardized Payment Amount |
232106.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
231 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
9255 |
Total Drug Medicare AllowedAmount |
4101.23 |
Total Drug Medicare PaymentAmount |
3991.48 |
Total Drug Medicare Standardized Payment Amount |
3991.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
3594 |
Number Of Medicare Beneficiaries With Medical Services |
534 |
Total Medical Submitted Charge Amount |
398786 |
Total Medical Medicare Allowed Amount |
353020.19 |
Total Medical Medicare Payment Amount |
248557.82 |
Total Medical Medicare Standardized Payment Amount |
228115.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
223 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
291 |
Number Of Male Beneficiaries |
243 |
Number Of Non Hispanic White Beneficiaries |
16 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
503 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
19 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
515 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.1263 |