| National Provider Identifier [NPI]: | 1982677381 |
| Last Name Of The Provider | NGUYEN |
| First Name Of The Provider | THAI |
| Middle Initial Of The Provider | D |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 9816 MEMORIAL BLVD |
| Street Address 2 Of The Provider | STE 202 |
| City Of The Provider | HUMBLE |
| Zip Code Of The Provider | 77338 |
| State Code Of The Provider | TX |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Neurology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 41 |
| Number Of Services | 19776 |
| Number Of Medicare Beneficiaries | 1476 |
| Total Submitted Charge Amount | 1170343.72 |
| Total Medicare Allowed Amount | 1103884.51 |
| Total Medicare Payment Amount | 835646.71 |
| Total Medicare Standardized Payment Amount | 850076.75 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 8835 |
| Number Of Medicare Beneficiaries With Drug Services | 22 |
| Total Drug Submitted ChargeAmount | 52632 |
| Total Drug Medicare AllowedAmount | 48413.31 |
| Total Drug Medicare PaymentAmount | 34969.37 |
| Total Drug Medicare Standardized Payment Amount | 34969.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 39 |
| Number Of Medical Services | 10941 |
| Number Of Medicare Beneficiaries With Medical Services | 1476 |
| Total Medical Submitted Charge Amount | 1117711.72 |
| Total Medical Medicare Allowed Amount | 1055471.2 |
| Total Medical Medicare Payment Amount | 800677.34 |
| Total Medical Medicare Standardized Payment Amount | 815107.38 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 289 |
| Number Of Beneficiaries Age 65 to 74 | 500 |
| Number Of Beneficiaries Age 75 to 84 | 441 |
| Number Of Beneficiaries Age Greater 84 | 246 |
| Number Of Female Beneficiaries | 853 |
| Number Of Male Beneficiaries | 623 |
| Number Of Non Hispanic White Beneficiaries | 1025 |
| Number Of Black or African American Beneficiaries | 277 |
| Number Of AsianPacific Islander Beneficiaries | 38 |
| Number Of Hispanic Beneficiaries | 124 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1039 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 437 |
| Percent Of With Atrial Fibrillation | 18 |
| Percent Of With Alzheimers Disease or Dementia | 44 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 12 |
| Percent Of With Heart Failure | 44 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 41 |
| Percent Of With Diabetes | 48 |
| Percent Of With Hyperlipidemia | 69 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 50 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 14 |
| Percent Of With Stroke | 37 |
| Average HCC Risk Score Of Beneficiaries | 2.2529 |