| National Provider Identifier [NPI]: | 1326254913 |
| Last Name Of The Provider | NGUYEN |
| First Name Of The Provider | JIMMY |
| 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 | 3330 NW 56TH ST |
| Street Address 2 Of The Provider | SUITE 206 |
| City Of The Provider | OKLAHOMA CITY |
| Zip Code Of The Provider | 731124479 |
| State Code Of The Provider | OK |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 178 |
| Number Of Services | 22285 |
| Number Of Medicare Beneficiaries | 4579 |
| Total Submitted Charge Amount | 311679.46 |
| Total Medicare Allowed Amount | 288158.26 |
| Total Medicare Payment Amount | 214394.06 |
| Total Medicare Standardized Payment Amount | 237101.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 15505 |
| Number Of Medicare Beneficiaries With Drug Services | 175 |
| Total Drug Submitted ChargeAmount | 2760.6 |
| Total Drug Medicare AllowedAmount | 2116.65 |
| Total Drug Medicare PaymentAmount | 1590.14 |
| Total Drug Medicare Standardized Payment Amount | 1590.14 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 174 |
| Number Of Medical Services | 6780 |
| Number Of Medicare Beneficiaries With Medical Services | 4579 |
| Total Medical Submitted Charge Amount | 308918.86 |
| Total Medical Medicare Allowed Amount | 286041.61 |
| Total Medical Medicare Payment Amount | 212803.92 |
| Total Medical Medicare Standardized Payment Amount | 235511.69 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 858 |
| Number Of Beneficiaries Age 65 to 74 | 1776 |
| Number Of Beneficiaries Age 75 to 84 | 1361 |
| Number Of Beneficiaries Age Greater 84 | 584 |
| Number Of Female Beneficiaries | 2550 |
| Number Of Male Beneficiaries | 2029 |
| Number Of Non Hispanic White Beneficiaries | 3860 |
| Number Of Black or African American Beneficiaries | 347 |
| Number Of AsianPacific Islander Beneficiaries | 46 |
| Number Of Hispanic Beneficiaries | 82 |
| Number Of American Indian Alaska Native Beneficiaries | 206 |
| Number Of Beneficiaries With Race Not Else where Classified | 38 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3640 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 939 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 15 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 34 |
| Percent Of With Chronic Kidney Disease | 39 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 35 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 57 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 51 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 7 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.9549 |