National Provider Identifier [NPI]: |
1922069624 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
ALEX |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 GESSNER |
Street Address 2 Of The Provider |
SUITE 600 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242545 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
277850 |
Number Of Medicare Beneficiaries |
374 |
Total Submitted Charge Amount |
6875382.96 |
Total Medicare Allowed Amount |
2190464.88 |
Total Medicare Payment Amount |
1678647.48 |
Total Medicare Standardized Payment Amount |
1683941.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
57 |
Number Of Drug Services |
271456 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
5914197.62 |
Total Drug Medicare AllowedAmount |
1840740.04 |
Total Drug Medicare PaymentAmount |
1417087.39 |
Total Drug Medicare Standardized Payment Amount |
1417087.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
6394 |
Number Of Medicare Beneficiaries With Medical Services |
374 |
Total Medical Submitted Charge Amount |
961185.34 |
Total Medical Medicare Allowed Amount |
349724.84 |
Total Medical Medicare Payment Amount |
261560.09 |
Total Medical Medicare Standardized Payment Amount |
266853.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
156 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
206 |
Number Of Male Beneficiaries |
168 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
273 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
32 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7745 |