| National Provider Identifier [NPI]: | 1023227477 |
| Last Name Of The Provider | NGUYEN |
| First Name Of The Provider | HENRY |
| Middle Initial Of The Provider | H |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 44405 WOODWARD AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | PONTIAC |
| Zip Code Of The Provider | 483415023 |
| State Code Of The Provider | MI |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 203 |
| Number Of Services | 8235 |
| Number Of Medicare Beneficiaries | 3466 |
| Total Submitted Charge Amount | 1336234.32 |
| Total Medicare Allowed Amount | 243111.22 |
| Total Medicare Payment Amount | 185879.38 |
| Total Medicare Standardized Payment Amount | 188497.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 2520 |
| Number Of Medicare Beneficiaries With Drug Services | 36 |
| Total Drug Submitted ChargeAmount | 3216.28 |
| Total Drug Medicare AllowedAmount | 829.86 |
| Total Drug Medicare PaymentAmount | 637.03 |
| Total Drug Medicare Standardized Payment Amount | 637.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 200 |
| Number Of Medical Services | 5715 |
| Number Of Medicare Beneficiaries With Medical Services | 3464 |
| Total Medical Submitted Charge Amount | 1333018.04 |
| Total Medical Medicare Allowed Amount | 242281.36 |
| Total Medical Medicare Payment Amount | 185242.35 |
| Total Medical Medicare Standardized Payment Amount | 187860.79 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 640 |
| Number Of Beneficiaries Age 65 to 74 | 1218 |
| Number Of Beneficiaries Age 75 to 84 | 1000 |
| Number Of Beneficiaries Age Greater 84 | 608 |
| Number Of Female Beneficiaries | 2122 |
| Number Of Male Beneficiaries | 1344 |
| Number Of Non Hispanic White Beneficiaries | 2275 |
| Number Of Black or African American Beneficiaries | 372 |
| Number Of AsianPacific Islander Beneficiaries | 52 |
| Number Of Hispanic Beneficiaries | 717 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 2491 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 975 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 24 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 14 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 42 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 49 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9703 |