National Provider Identifier [NPI]: |
1659558823 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
HA |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 HOWELL MILL RD NW |
Street Address 2 Of The Provider |
SUITE 775 AND 800 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303182538 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
125 |
Number Of Services |
39322 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
2709355 |
Total Medicare Allowed Amount |
1088949.26 |
Total Medicare Payment Amount |
845193.09 |
Total Medicare Standardized Payment Amount |
840597.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
35498 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
2096941 |
Total Drug Medicare AllowedAmount |
870500.91 |
Total Drug Medicare PaymentAmount |
675944.59 |
Total Drug Medicare Standardized Payment Amount |
675944.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
3824 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
612414 |
Total Medical Medicare Allowed Amount |
218448.35 |
Total Medical Medicare Payment Amount |
169248.5 |
Total Medical Medicare Standardized Payment Amount |
164653.14 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
138 |
Number Of Non Hispanic White Beneficiaries |
249 |
Number Of Black or African American Beneficiaries |
98 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
324 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9892 |