National Provider Identifier [NPI]: |
1558369181 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
MINH |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6955 N DURANGO DR |
Street Address 2 Of The Provider |
SUITE 1115-361 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891494411 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
19 |
Number Of Services |
7942 |
Number Of Medicare Beneficiaries |
1093 |
Total Submitted Charge Amount |
1060861 |
Total Medicare Allowed Amount |
666723.42 |
Total Medicare Payment Amount |
519020.46 |
Total Medicare Standardized Payment Amount |
507640.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
7942 |
Number Of Medicare Beneficiaries With Medical Services |
1093 |
Total Medical Submitted Charge Amount |
1060861 |
Total Medical Medicare Allowed Amount |
666723.42 |
Total Medical Medicare Payment Amount |
519020.46 |
Total Medical Medicare Standardized Payment Amount |
507640.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
347 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
616 |
Number Of Male Beneficiaries |
477 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
134 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
805 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
28 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
46 |
Percent Of With Depression |
63 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.2616 |