National Provider Identifier [NPI]: |
1871585752 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
LARRY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5 SAINT VINCENT CIR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722055412 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
5617 |
Number Of Medicare Beneficiaries |
790 |
Total Submitted Charge Amount |
978163 |
Total Medicare Allowed Amount |
386495.06 |
Total Medicare Payment Amount |
288592.62 |
Total Medicare Standardized Payment Amount |
320790.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1974 |
Number Of Medicare Beneficiaries With Drug Services |
180 |
Total Drug Submitted ChargeAmount |
46353 |
Total Drug Medicare AllowedAmount |
29697.53 |
Total Drug Medicare PaymentAmount |
21053.44 |
Total Drug Medicare Standardized Payment Amount |
21053.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
3643 |
Number Of Medicare Beneficiaries With Medical Services |
790 |
Total Medical Submitted Charge Amount |
931810 |
Total Medical Medicare Allowed Amount |
356797.53 |
Total Medical Medicare Payment Amount |
267539.18 |
Total Medical Medicare Standardized Payment Amount |
299736.79 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
523 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
563 |
Number Of Black or African American Beneficiaries |
207 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
580 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
210 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
62 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6225 |