| National Provider Identifier [NPI]: | 1437117116 |
| Last Name Of The Provider | TRAN |
| First Name Of The Provider | THI |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1950 LAUREL MANOR DR |
| Street Address 2 Of The Provider | BLDG 220 STE 224 |
| City Of The Provider | THE VILLAGES |
| Zip Code Of The Provider | 321625602 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 78 |
| Number Of Services | 88159 |
| Number Of Medicare Beneficiaries | 6795 |
| Total Submitted Charge Amount | 9276360.5 |
| Total Medicare Allowed Amount | 8170926.17 |
| Total Medicare Payment Amount | 6319505.8 |
| Total Medicare Standardized Payment Amount | 5805512.7 |
| 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 | 78 |
| Number Of Medical Services | 88159 |
| Number Of Medicare Beneficiaries With Medical Services | 6795 |
| Total Medical Submitted Charge Amount | 9276360.5 |
| Total Medical Medicare Allowed Amount | 8170926.17 |
| Total Medical Medicare Payment Amount | 6319505.8 |
| Total Medical Medicare Standardized Payment Amount | 5805512.7 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 65 |
| Number Of Beneficiaries Age 65 to 74 | 3749 |
| Number Of Beneficiaries Age 75 to 84 | 2559 |
| Number Of Beneficiaries Age Greater 84 | 422 |
| Number Of Female Beneficiaries | 3586 |
| Number Of Male Beneficiaries | 3209 |
| Number Of Non Hispanic White Beneficiaries | 6657 |
| Number Of Black or African American Beneficiaries | 19 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 56 |
| Number Of Beneficiaries With Medicare Only Entitlement | 6770 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 25 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 10 |
| Percent Of With Chronic Kidney Disease | 17 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 23 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 71 |
| Percent Of With Ischemic Heart Disease | 40 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 0.9199 |