National Provider Identifier [NPI]: |
1467461061 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
24221 CALLE DE LA LOUISA |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
LAGUNA HILLS |
Zip Code Of The Provider |
926537638 |
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 |
78 |
Number Of Services |
6077 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
529782.25 |
Total Medicare Allowed Amount |
272995.75 |
Total Medicare Payment Amount |
222107.26 |
Total Medicare Standardized Payment Amount |
205671.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
208 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
17948 |
Total Drug Medicare AllowedAmount |
8712.12 |
Total Drug Medicare PaymentAmount |
8536.76 |
Total Drug Medicare Standardized Payment Amount |
8536.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
5869 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
511834.25 |
Total Medical Medicare Allowed Amount |
264283.63 |
Total Medical Medicare Payment Amount |
213570.5 |
Total Medical Medicare Standardized Payment Amount |
197134.44 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
157 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
308 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
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 |
17 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3575 |