National Provider Identifier [NPI]: |
1114927357 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
VINH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D., F.A.A.O.S. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8206 LEESBURG PIKE |
Street Address 2 Of The Provider |
SUITE 409 |
City Of The Provider |
VIENNA |
Zip Code Of The Provider |
221822614 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5611 |
Number Of Medicare Beneficiaries |
385 |
Total Submitted Charge Amount |
1600316.86 |
Total Medicare Allowed Amount |
302122.64 |
Total Medicare Payment Amount |
221487.89 |
Total Medicare Standardized Payment Amount |
203335.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
3328 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
203733.8 |
Total Drug Medicare AllowedAmount |
41206.51 |
Total Drug Medicare PaymentAmount |
31917.04 |
Total Drug Medicare Standardized Payment Amount |
31917.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
2283 |
Number Of Medicare Beneficiaries With Medical Services |
385 |
Total Medical Submitted Charge Amount |
1396583.06 |
Total Medical Medicare Allowed Amount |
260916.13 |
Total Medical Medicare Payment Amount |
189570.85 |
Total Medical Medicare Standardized Payment Amount |
171418.64 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
18 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
271 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
96 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
244 |
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 |
185 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0022 |