National Provider Identifier [NPI]: |
1134295165 |
Last Name Of The Provider |
BUI |
First Name Of The Provider |
TUAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
771 OLD NORCROSS RD |
Street Address 2 Of The Provider |
SUITES 155 AND 390 |
City Of The Provider |
LAWRENCEVILLE |
Zip Code Of The Provider |
300464386 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
2120 |
Number Of Medicare Beneficiaries |
410 |
Total Submitted Charge Amount |
995111.27 |
Total Medicare Allowed Amount |
329802.84 |
Total Medicare Payment Amount |
250742.42 |
Total Medicare Standardized Payment Amount |
255259.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
292 |
Number Of Medicare Beneficiaries With Drug Services |
65 |
Total Drug Submitted ChargeAmount |
41756 |
Total Drug Medicare AllowedAmount |
19947.32 |
Total Drug Medicare PaymentAmount |
15199.97 |
Total Drug Medicare Standardized Payment Amount |
15199.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
156 |
Number Of Medical Services |
1828 |
Number Of Medicare Beneficiaries With Medical Services |
410 |
Total Medical Submitted Charge Amount |
953355.27 |
Total Medical Medicare Allowed Amount |
309855.52 |
Total Medical Medicare Payment Amount |
235542.45 |
Total Medical Medicare Standardized Payment Amount |
240059.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
114 |
Number Of Beneficiaries Age Greater 84 |
63 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
287 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
59 |
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 |
308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3174 |