National Provider Identifier [NPI]: |
1285967646 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
TU-HUONG |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
CFNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15012 LEMOYNE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BILOXI |
Zip Code Of The Provider |
395325205 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
3200 |
Number Of Medicare Beneficiaries |
350 |
Total Submitted Charge Amount |
395860.5 |
Total Medicare Allowed Amount |
91549.28 |
Total Medicare Payment Amount |
69364.35 |
Total Medicare Standardized Payment Amount |
84062.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1970 |
Number Of Medicare Beneficiaries With Drug Services |
91 |
Total Drug Submitted ChargeAmount |
75000 |
Total Drug Medicare AllowedAmount |
31412.97 |
Total Drug Medicare PaymentAmount |
23740.5 |
Total Drug Medicare Standardized Payment Amount |
23740.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
1230 |
Number Of Medicare Beneficiaries With Medical Services |
349 |
Total Medical Submitted Charge Amount |
320860.5 |
Total Medical Medicare Allowed Amount |
60136.31 |
Total Medical Medicare Payment Amount |
45623.85 |
Total Medical Medicare Standardized Payment Amount |
60322.3 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
32 |
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
113 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
213 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
327 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
330 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8973 |