| National Provider Identifier [NPI]: | 1952315319 |
| Last Name Of The Provider | PHUNG |
| First Name Of The Provider | THANH |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 15027 SOUTH PRAIRIE AVE |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAWNDALE |
| Zip Code Of The Provider | 90260 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 153 |
| Number Of Services | 11275 |
| Number Of Medicare Beneficiaries | 5447 |
| Total Submitted Charge Amount | 5084717 |
| Total Medicare Allowed Amount | 1235933.21 |
| Total Medicare Payment Amount | 956402.08 |
| Total Medicare Standardized Payment Amount | 831865.69 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 318 |
| Number Of Medicare Beneficiaries With Drug Services | 79 |
| Total Drug Submitted ChargeAmount | 32400 |
| Total Drug Medicare AllowedAmount | 152.15 |
| Total Drug Medicare PaymentAmount | 119.57 |
| Total Drug Medicare Standardized Payment Amount | 119.57 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 151 |
| Number Of Medical Services | 10957 |
| Number Of Medicare Beneficiaries With Medical Services | 5447 |
| Total Medical Submitted Charge Amount | 5052317 |
| Total Medical Medicare Allowed Amount | 1235781.06 |
| Total Medical Medicare Payment Amount | 956282.51 |
| Total Medical Medicare Standardized Payment Amount | 831746.12 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 307 |
| Number Of Beneficiaries Age 65 to 74 | 2997 |
| Number Of Beneficiaries Age 75 to 84 | 1696 |
| Number Of Beneficiaries Age Greater 84 | 447 |
| Number Of Female Beneficiaries | 3374 |
| Number Of Male Beneficiaries | 2073 |
| Number Of Non Hispanic White Beneficiaries | 76 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | 5203 |
| Number Of Hispanic Beneficiaries | 134 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 222 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 5225 |
| Percent Of With Atrial Fibrillation | 4 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 10 |
| Percent Of With Cancer | 5 |
| Percent Of With Heart Failure | 12 |
| Percent Of With Chronic Kidney Disease | 21 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 44 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 39 |
| Percent Of With Osteoporosis | 24 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 43 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.1077 |