National Provider Identifier [NPI]: |
1720086556 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
VINH |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 JOSE FIGUERES AVE |
Street Address 2 Of The Provider |
SUITE 460 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951161500 |
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 |
20 |
Number Of Services |
4265 |
Number Of Medicare Beneficiaries |
666 |
Total Submitted Charge Amount |
548580 |
Total Medicare Allowed Amount |
313973.55 |
Total Medicare Payment Amount |
233466.35 |
Total Medicare Standardized Payment Amount |
197316.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
521 |
Number Of Medicare Beneficiaries With Drug Services |
511 |
Total Drug Submitted ChargeAmount |
40345 |
Total Drug Medicare AllowedAmount |
15698.85 |
Total Drug Medicare PaymentAmount |
15362.85 |
Total Drug Medicare Standardized Payment Amount |
15362.85 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
3744 |
Number Of Medicare Beneficiaries With Medical Services |
666 |
Total Medical Submitted Charge Amount |
508235 |
Total Medical Medicare Allowed Amount |
298274.7 |
Total Medical Medicare Payment Amount |
218103.5 |
Total Medical Medicare Standardized Payment Amount |
181953.67 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
92 |
Number Of Female Beneficiaries |
404 |
Number Of Male Beneficiaries |
262 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
627 |
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
78 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
588 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
4 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
15 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0468 |