National Provider Identifier [NPI]: |
1033195664 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
DUONG |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
650 PETER JEFFERSON PKWY |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
CHARLOTTESVILLE |
Zip Code Of The Provider |
229118844 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
3156 |
Number Of Medicare Beneficiaries |
1489 |
Total Submitted Charge Amount |
964536.52 |
Total Medicare Allowed Amount |
312259.88 |
Total Medicare Payment Amount |
231434.18 |
Total Medicare Standardized Payment Amount |
236389.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
71 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
13889 |
Total Drug Medicare AllowedAmount |
3398.59 |
Total Drug Medicare PaymentAmount |
2664.52 |
Total Drug Medicare Standardized Payment Amount |
2664.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3085 |
Number Of Medicare Beneficiaries With Medical Services |
1489 |
Total Medical Submitted Charge Amount |
950647.52 |
Total Medical Medicare Allowed Amount |
308861.29 |
Total Medical Medicare Payment Amount |
228769.66 |
Total Medical Medicare Standardized Payment Amount |
233724.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
535 |
Number Of Beneficiaries Age 75 to 84 |
551 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
717 |
Number Of Male Beneficiaries |
772 |
Number Of Non Hispanic White Beneficiaries |
1323 |
Number Of Black or African American Beneficiaries |
132 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1362 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.3546 |