National Provider Identifier [NPI]: |
1306886387 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
VINH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4316 JAMES CASEY ST |
Street Address 2 Of The Provider |
BLDG. A |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787451157 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
11036 |
Number Of Medicare Beneficiaries |
2646 |
Total Submitted Charge Amount |
1811027.75 |
Total Medicare Allowed Amount |
720263.39 |
Total Medicare Payment Amount |
535057.94 |
Total Medicare Standardized Payment Amount |
544312.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
188 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
29704 |
Total Drug Medicare AllowedAmount |
9955.35 |
Total Drug Medicare PaymentAmount |
7804.92 |
Total Drug Medicare Standardized Payment Amount |
7804.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
10848 |
Number Of Medicare Beneficiaries With Medical Services |
2646 |
Total Medical Submitted Charge Amount |
1781323.75 |
Total Medical Medicare Allowed Amount |
710308.04 |
Total Medical Medicare Payment Amount |
527253.02 |
Total Medical Medicare Standardized Payment Amount |
536507.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
368 |
Number Of Beneficiaries Age 65 to 74 |
1033 |
Number Of Beneficiaries Age 75 to 84 |
818 |
Number Of Beneficiaries Age Greater 84 |
427 |
Number Of Female Beneficiaries |
1264 |
Number Of Male Beneficiaries |
1382 |
Number Of Non Hispanic White Beneficiaries |
1933 |
Number Of Black or African American Beneficiaries |
155 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
479 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
543 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8245 |