National Provider Identifier [NPI]: |
1952365611 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
JEAN-PAUL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 CENTRE POINTE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TALLAHASSEE |
Zip Code Of The Provider |
32308 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
10418 |
Number Of Medicare Beneficiaries |
999 |
Total Submitted Charge Amount |
1097573.88 |
Total Medicare Allowed Amount |
422914.39 |
Total Medicare Payment Amount |
315917.05 |
Total Medicare Standardized Payment Amount |
319222.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
6873 |
Number Of Medicare Beneficiaries With Drug Services |
144 |
Total Drug Submitted ChargeAmount |
319279.83 |
Total Drug Medicare AllowedAmount |
144431.97 |
Total Drug Medicare PaymentAmount |
112914.04 |
Total Drug Medicare Standardized Payment Amount |
112914.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
3545 |
Number Of Medicare Beneficiaries With Medical Services |
999 |
Total Medical Submitted Charge Amount |
778294.05 |
Total Medical Medicare Allowed Amount |
278482.42 |
Total Medical Medicare Payment Amount |
203003.01 |
Total Medical Medicare Standardized Payment Amount |
206308.64 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
159 |
Number Of Beneficiaries Age 65 to 74 |
402 |
Number Of Beneficiaries Age 75 to 84 |
303 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
310 |
Number Of Male Beneficiaries |
689 |
Number Of Non Hispanic White Beneficiaries |
790 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
241 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2561 |