National Provider Identifier [NPI]: |
1528179660 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
TRIEU |
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 |
11190 WARNER AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
FOUNTAIN VALLEY |
Zip Code Of The Provider |
927084019 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
5613 |
Number Of Medicare Beneficiaries |
663 |
Total Submitted Charge Amount |
1326263 |
Total Medicare Allowed Amount |
494269.04 |
Total Medicare Payment Amount |
374078.74 |
Total Medicare Standardized Payment Amount |
352334.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
428 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
37360 |
Total Drug Medicare AllowedAmount |
19573.3 |
Total Drug Medicare PaymentAmount |
15255.43 |
Total Drug Medicare Standardized Payment Amount |
15255.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
154 |
Number Of Medical Services |
5185 |
Number Of Medicare Beneficiaries With Medical Services |
663 |
Total Medical Submitted Charge Amount |
1288903 |
Total Medical Medicare Allowed Amount |
474695.74 |
Total Medical Medicare Payment Amount |
358823.31 |
Total Medical Medicare Standardized Payment Amount |
337079.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
257 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
461 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
30 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
598 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
66 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
597 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3177 |