National Provider Identifier [NPI]: |
1598912909 |
Last Name Of The Provider |
HOANG |
First Name Of The Provider |
AMANDA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
440 PLUMAS BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YUBA CITY |
Zip Code Of The Provider |
959915071 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
184 |
Number Of Services |
42067 |
Number Of Medicare Beneficiaries |
2483 |
Total Submitted Charge Amount |
2626010 |
Total Medicare Allowed Amount |
527052.04 |
Total Medicare Payment Amount |
413669.97 |
Total Medicare Standardized Payment Amount |
389780.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
37953 |
Number Of Medicare Beneficiaries With Drug Services |
402 |
Total Drug Submitted ChargeAmount |
47788 |
Total Drug Medicare AllowedAmount |
8627.02 |
Total Drug Medicare PaymentAmount |
6730.86 |
Total Drug Medicare Standardized Payment Amount |
6730.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
177 |
Number Of Medical Services |
4114 |
Number Of Medicare Beneficiaries With Medical Services |
2483 |
Total Medical Submitted Charge Amount |
2578222 |
Total Medical Medicare Allowed Amount |
518425.02 |
Total Medical Medicare Payment Amount |
406939.11 |
Total Medical Medicare Standardized Payment Amount |
383049.89 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
470 |
Number Of Beneficiaries Age 65 to 74 |
1078 |
Number Of Beneficiaries Age 75 to 84 |
697 |
Number Of Beneficiaries Age Greater 84 |
238 |
Number Of Female Beneficiaries |
1669 |
Number Of Male Beneficiaries |
814 |
Number Of Non Hispanic White Beneficiaries |
2035 |
Number Of Black or African American Beneficiaries |
53 |
Number Of AsianPacific Islander Beneficiaries |
89 |
Number Of Hispanic Beneficiaries |
235 |
Number Of American Indian Alaska Native Beneficiaries |
34 |
Number Of Beneficiaries With Race Not Else where Classified |
37 |
Number Of Beneficiaries With Medicare Only Entitlement |
1899 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
584 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1423 |