National Provider Identifier [NPI]: |
1023093838 |
Last Name Of The Provider |
HUYNH |
First Name Of The Provider |
MINH |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3801 KATELLA AVE |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
LOS ALAMITOS |
Zip Code Of The Provider |
907203338 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
69496 |
Number Of Medicare Beneficiaries |
310 |
Total Submitted Charge Amount |
1738411 |
Total Medicare Allowed Amount |
841061.67 |
Total Medicare Payment Amount |
654403.05 |
Total Medicare Standardized Payment Amount |
628057.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
50 |
Number Of Drug Services |
64621 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
1189607 |
Total Drug Medicare AllowedAmount |
550969.48 |
Total Drug Medicare PaymentAmount |
431028.96 |
Total Drug Medicare Standardized Payment Amount |
431028.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4875 |
Number Of Medicare Beneficiaries With Medical Services |
310 |
Total Medical Submitted Charge Amount |
548804 |
Total Medical Medicare Allowed Amount |
290092.19 |
Total Medical Medicare Payment Amount |
223374.09 |
Total Medical Medicare Standardized Payment Amount |
197028.68 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
122 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
175 |
Number Of Male Beneficiaries |
135 |
Number Of Non Hispanic White Beneficiaries |
244 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
26 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
36 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.008 |