National Provider Identifier [NPI]: |
1922207372 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
BINH |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 W ARBOR DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921038755 |
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 |
247 |
Number Of Services |
14917 |
Number Of Medicare Beneficiaries |
4603 |
Total Submitted Charge Amount |
1824785.03 |
Total Medicare Allowed Amount |
485300.02 |
Total Medicare Payment Amount |
368858.44 |
Total Medicare Standardized Payment Amount |
337184.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5936 |
Number Of Medicare Beneficiaries With Drug Services |
115 |
Total Drug Submitted ChargeAmount |
3294.85 |
Total Drug Medicare AllowedAmount |
2425.56 |
Total Drug Medicare PaymentAmount |
1896.9 |
Total Drug Medicare Standardized Payment Amount |
1896.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
242 |
Number Of Medical Services |
8981 |
Number Of Medicare Beneficiaries With Medical Services |
4603 |
Total Medical Submitted Charge Amount |
1821490.18 |
Total Medical Medicare Allowed Amount |
482874.46 |
Total Medical Medicare Payment Amount |
366961.54 |
Total Medical Medicare Standardized Payment Amount |
335287.87 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
477 |
Number Of Beneficiaries Age 65 to 74 |
1367 |
Number Of Beneficiaries Age 75 to 84 |
1442 |
Number Of Beneficiaries Age Greater 84 |
1317 |
Number Of Female Beneficiaries |
2842 |
Number Of Male Beneficiaries |
1761 |
Number Of Non Hispanic White Beneficiaries |
2040 |
Number Of Black or African American Beneficiaries |
142 |
Number Of AsianPacific Islander Beneficiaries |
1340 |
Number Of Hispanic Beneficiaries |
994 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2172 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2431 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
33 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2778 |