National Provider Identifier [NPI]: |
1396958484 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
TUNG |
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 |
5012 S US HIGHWAY 75 |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
DENISON |
Zip Code Of The Provider |
750204587 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
4183 |
Number Of Medicare Beneficiaries |
1255 |
Total Submitted Charge Amount |
1407834.01 |
Total Medicare Allowed Amount |
583611.31 |
Total Medicare Payment Amount |
438071.93 |
Total Medicare Standardized Payment Amount |
471134.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
4183 |
Number Of Medicare Beneficiaries With Medical Services |
1255 |
Total Medical Submitted Charge Amount |
1407834.01 |
Total Medical Medicare Allowed Amount |
583611.31 |
Total Medical Medicare Payment Amount |
438071.93 |
Total Medical Medicare Standardized Payment Amount |
471134.82 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
567 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
144 |
Number Of Female Beneficiaries |
742 |
Number Of Male Beneficiaries |
513 |
Number Of Non Hispanic White Beneficiaries |
1133 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
48 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
948 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
307 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
40 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8051 |