National Provider Identifier [NPI]: |
1366637563 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
AN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
605 GLENWOOD DRIVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374041130 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
145 |
Number Of Services |
146711 |
Number Of Medicare Beneficiaries |
699 |
Total Submitted Charge Amount |
2326994 |
Total Medicare Allowed Amount |
1418487.12 |
Total Medicare Payment Amount |
1076623.57 |
Total Medicare Standardized Payment Amount |
1089343.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
134982 |
Number Of Medicare Beneficiaries With Drug Services |
224 |
Total Drug Submitted ChargeAmount |
1629178 |
Total Drug Medicare AllowedAmount |
1149825.11 |
Total Drug Medicare PaymentAmount |
866969.52 |
Total Drug Medicare Standardized Payment Amount |
866969.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
11729 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
697816 |
Total Medical Medicare Allowed Amount |
268662.01 |
Total Medical Medicare Payment Amount |
209654.05 |
Total Medical Medicare Standardized Payment Amount |
222373.89 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
137 |
Number Of Beneficiaries Age 65 to 74 |
306 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
333 |
Number Of Non Hispanic White Beneficiaries |
641 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
504 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0764 |