National Provider Identifier [NPI]: |
1528001930 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
ALEXANDER |
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 |
837 FM 1960 RD W |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770903423 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
5674 |
Number Of Medicare Beneficiaries |
341 |
Total Submitted Charge Amount |
1028749.65 |
Total Medicare Allowed Amount |
222120.4 |
Total Medicare Payment Amount |
169640.89 |
Total Medicare Standardized Payment Amount |
173895.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
380 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
48759 |
Total Drug Medicare AllowedAmount |
12820.97 |
Total Drug Medicare PaymentAmount |
11610.85 |
Total Drug Medicare Standardized Payment Amount |
11610.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
5294 |
Number Of Medicare Beneficiaries With Medical Services |
341 |
Total Medical Submitted Charge Amount |
979990.65 |
Total Medical Medicare Allowed Amount |
209299.43 |
Total Medical Medicare Payment Amount |
158030.04 |
Total Medical Medicare Standardized Payment Amount |
162284.34 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
191 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
151 |
Number Of Non Hispanic White Beneficiaries |
197 |
Number Of Black or African American Beneficiaries |
82 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0154 |