National Provider Identifier [NPI]: |
1679503007 |
Last Name Of The Provider |
VU |
First Name Of The Provider |
TUAN |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13330 USF LAUREL DR |
Street Address 2 Of The Provider |
MDC55 |
City Of The Provider |
TAMPA |
Zip Code Of The Provider |
336126601 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
18123 |
Number Of Medicare Beneficiaries |
345 |
Total Submitted Charge Amount |
458883.5 |
Total Medicare Allowed Amount |
211017.23 |
Total Medicare Payment Amount |
157441.59 |
Total Medicare Standardized Payment Amount |
158967.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
17203 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
140039 |
Total Drug Medicare AllowedAmount |
94548.36 |
Total Drug Medicare PaymentAmount |
71996.67 |
Total Drug Medicare Standardized Payment Amount |
71996.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
920 |
Number Of Medicare Beneficiaries With Medical Services |
345 |
Total Medical Submitted Charge Amount |
318844.5 |
Total Medical Medicare Allowed Amount |
116468.87 |
Total Medical Medicare Payment Amount |
85444.92 |
Total Medical Medicare Standardized Payment Amount |
86971.06 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
100 |
Number Of Beneficiaries Age 65 to 74 |
152 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
305 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
289 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4777 |