National Provider Identifier [NPI]: |
1205878378 |
Last Name Of The Provider |
VU |
First Name Of The Provider |
CUONG |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2002 MEDICAL PKWY |
Street Address 2 Of The Provider |
#450 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013046 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
11537 |
Number Of Medicare Beneficiaries |
1208 |
Total Submitted Charge Amount |
2442689 |
Total Medicare Allowed Amount |
1359968.18 |
Total Medicare Payment Amount |
1024494.16 |
Total Medicare Standardized Payment Amount |
920452.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2328 |
Number Of Medicare Beneficiaries With Drug Services |
281 |
Total Drug Submitted ChargeAmount |
233474 |
Total Drug Medicare AllowedAmount |
179365.83 |
Total Drug Medicare PaymentAmount |
137839.41 |
Total Drug Medicare Standardized Payment Amount |
137839.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
9209 |
Number Of Medicare Beneficiaries With Medical Services |
1208 |
Total Medical Submitted Charge Amount |
2209215 |
Total Medical Medicare Allowed Amount |
1180602.35 |
Total Medical Medicare Payment Amount |
886654.75 |
Total Medical Medicare Standardized Payment Amount |
782612.75 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
412 |
Number Of Beneficiaries Age 75 to 84 |
410 |
Number Of Beneficiaries Age Greater 84 |
327 |
Number Of Female Beneficiaries |
726 |
Number Of Male Beneficiaries |
482 |
Number Of Non Hispanic White Beneficiaries |
817 |
Number Of Black or African American Beneficiaries |
217 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
66 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1033 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
175 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3362 |