National Provider Identifier [NPI]: |
1922209675 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
QUANG |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3305 SW 34TH CIR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344746616 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
8496 |
Number Of Medicare Beneficiaries |
928 |
Total Submitted Charge Amount |
845495 |
Total Medicare Allowed Amount |
490516.01 |
Total Medicare Payment Amount |
367193.89 |
Total Medicare Standardized Payment Amount |
366648.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
2905 |
Number Of Medicare Beneficiaries With Drug Services |
138 |
Total Drug Submitted ChargeAmount |
29250 |
Total Drug Medicare AllowedAmount |
17823.51 |
Total Drug Medicare PaymentAmount |
13949.13 |
Total Drug Medicare Standardized Payment Amount |
13949.13 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
5591 |
Number Of Medicare Beneficiaries With Medical Services |
928 |
Total Medical Submitted Charge Amount |
816245 |
Total Medical Medicare Allowed Amount |
472692.5 |
Total Medical Medicare Payment Amount |
353244.76 |
Total Medical Medicare Standardized Payment Amount |
352698.99 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
194 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
279 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
563 |
Number Of Male Beneficiaries |
365 |
Number Of Non Hispanic White Beneficiaries |
827 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
741 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.6868 |