National Provider Identifier [NPI]: |
1043268014 |
Last Name Of The Provider |
HOANG |
First Name Of The Provider |
TRI-DUNG |
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 |
6540 STOCKTON BLVD |
Street Address 2 Of The Provider |
SUITE # 3-A |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958231635 |
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 |
28 |
Number Of Services |
5404 |
Number Of Medicare Beneficiaries |
915 |
Total Submitted Charge Amount |
515370 |
Total Medicare Allowed Amount |
433805.56 |
Total Medicare Payment Amount |
314186.28 |
Total Medicare Standardized Payment Amount |
301624.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
686 |
Number Of Medicare Beneficiaries With Drug Services |
471 |
Total Drug Submitted ChargeAmount |
20810 |
Total Drug Medicare AllowedAmount |
12008.08 |
Total Drug Medicare PaymentAmount |
11679.05 |
Total Drug Medicare Standardized Payment Amount |
11679.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
4718 |
Number Of Medicare Beneficiaries With Medical Services |
915 |
Total Medical Submitted Charge Amount |
494560 |
Total Medical Medicare Allowed Amount |
421797.48 |
Total Medical Medicare Payment Amount |
302507.23 |
Total Medical Medicare Standardized Payment Amount |
289945.53 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
447 |
Number Of Beneficiaries Age 75 to 84 |
235 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
460 |
Number Of Non Hispanic White Beneficiaries |
30 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
811 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
28 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
887 |
Percent Of With Atrial Fibrillation |
3 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
2 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
5 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
10 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.9721 |