National Provider Identifier [NPI]: |
1013070234 |
Last Name Of The Provider |
DUONG |
First Name Of The Provider |
HAN |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D.& D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8632 VALLEY BLVD |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
ROSEMEAD |
Zip Code Of The Provider |
917701740 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1950 |
Number Of Medicare Beneficiaries |
252 |
Total Submitted Charge Amount |
237320.61 |
Total Medicare Allowed Amount |
109546.19 |
Total Medicare Payment Amount |
83295.6 |
Total Medicare Standardized Payment Amount |
78758.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
203 |
Number Of Medicare Beneficiaries With Drug Services |
134 |
Total Drug Submitted ChargeAmount |
6365.31 |
Total Drug Medicare AllowedAmount |
1537.54 |
Total Drug Medicare PaymentAmount |
1478.88 |
Total Drug Medicare Standardized Payment Amount |
1478.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1747 |
Number Of Medicare Beneficiaries With Medical Services |
252 |
Total Medical Submitted Charge Amount |
230955.3 |
Total Medical Medicare Allowed Amount |
108008.65 |
Total Medical Medicare Payment Amount |
81816.72 |
Total Medical Medicare Standardized Payment Amount |
77279.58 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
134 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
20 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
237 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
60 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
40 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4219 |