National Provider Identifier [NPI]: |
1114035383 |
Last Name Of The Provider |
HUYNH |
First Name Of The Provider |
BOBBY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
375 MUNICIPAL DR |
Street Address 2 Of The Provider |
SUITE 144 |
City Of The Provider |
RICHARDSON |
Zip Code Of The Provider |
750803561 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
20405 |
Number Of Medicare Beneficiaries |
439 |
Total Submitted Charge Amount |
1136505.69 |
Total Medicare Allowed Amount |
383023.79 |
Total Medicare Payment Amount |
296304.17 |
Total Medicare Standardized Payment Amount |
285059.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
17110 |
Number Of Medicare Beneficiaries With Drug Services |
240 |
Total Drug Submitted ChargeAmount |
294995 |
Total Drug Medicare AllowedAmount |
108655.08 |
Total Drug Medicare PaymentAmount |
85041.08 |
Total Drug Medicare Standardized Payment Amount |
85041.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
3295 |
Number Of Medicare Beneficiaries With Medical Services |
439 |
Total Medical Submitted Charge Amount |
841510.69 |
Total Medical Medicare Allowed Amount |
274368.71 |
Total Medical Medicare Payment Amount |
211263.09 |
Total Medical Medicare Standardized Payment Amount |
200018.46 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
150 |
Number Of Beneficiaries Age 75 to 84 |
127 |
Number Of Beneficiaries Age Greater 84 |
64 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
228 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
121 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
186 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
70 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.9925 |