| National Provider Identifier [NPI]: | 1275596827 |
| Last Name Of The Provider | NGUYEN |
| First Name Of The Provider | LINH |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | M.D., M.S., CPE |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 14780 W. MOUNTAIN VIEW BLVD. |
| Street Address 2 Of The Provider | SUITE 110 |
| City Of The Provider | SURPRISE |
| Zip Code Of The Provider | 853747280 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 95 |
| Number Of Services | 29293 |
| Number Of Medicare Beneficiaries | 1908 |
| Total Submitted Charge Amount | 4675861.23 |
| Total Medicare Allowed Amount | 4255078.49 |
| Total Medicare Payment Amount | 3281507.82 |
| Total Medicare Standardized Payment Amount | 3300709.68 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 176 |
| Number Of Medicare Beneficiaries With Drug Services | 141 |
| Total Drug Submitted ChargeAmount | 2853 |
| Total Drug Medicare AllowedAmount | 2114.82 |
| Total Drug Medicare PaymentAmount | 2053.9 |
| Total Drug Medicare Standardized Payment Amount | 2053.9 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 91 |
| Number Of Medical Services | 29117 |
| Number Of Medicare Beneficiaries With Medical Services | 1908 |
| Total Medical Submitted Charge Amount | 4673008.23 |
| Total Medical Medicare Allowed Amount | 4252963.67 |
| Total Medical Medicare Payment Amount | 3279453.92 |
| Total Medical Medicare Standardized Payment Amount | 3298655.78 |
| Average Age Of Beneficiaries | 83 |
| Number Of Beneficiaries Age Less65 | 116 |
| Number Of Beneficiaries Age 65 to 74 | 252 |
| Number Of Beneficiaries Age 75 to 84 | 563 |
| Number Of Beneficiaries Age Greater 84 | 977 |
| Number Of Female Beneficiaries | 1287 |
| Number Of Male Beneficiaries | 621 |
| Number Of Non Hispanic White Beneficiaries | 1764 |
| Number Of Black or African American Beneficiaries | 49 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 65 |
| Number Of American Indian Alaska Native Beneficiaries | 11 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1595 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 313 |
| Percent Of With Atrial Fibrillation | 23 |
| Percent Of With Alzheimers Disease or Dementia | 64 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 22 |
| Percent Of With Depression | 46 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 51 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 46 |
| Percent Of With Osteoporosis | 14 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 62 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.9025 |