National Provider Identifier [NPI]: |
1518977735 |
Last Name Of The Provider |
LIEU |
First Name Of The Provider |
BINH |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2201 MISSION AVE # 135 |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCEANSIDE |
Zip Code Of The Provider |
920542328 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
925 |
Number Of Medicare Beneficiaries |
225 |
Total Submitted Charge Amount |
134742.89 |
Total Medicare Allowed Amount |
70885.96 |
Total Medicare Payment Amount |
47726.39 |
Total Medicare Standardized Payment Amount |
46708.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
9543 |
Total Drug Medicare AllowedAmount |
5049.84 |
Total Drug Medicare PaymentAmount |
4909.18 |
Total Drug Medicare Standardized Payment Amount |
4909.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
827 |
Number Of Medicare Beneficiaries With Medical Services |
225 |
Total Medical Submitted Charge Amount |
125199.89 |
Total Medical Medicare Allowed Amount |
65836.12 |
Total Medical Medicare Payment Amount |
42817.21 |
Total Medical Medicare Standardized Payment Amount |
41799.54 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
90 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
133 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
124 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
40 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
152 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1809 |