National Provider Identifier [NPI]: |
1205883501 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
NGAI |
Middle Initial Of The Provider |
X |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
696 E SANTA CLARA ST |
Street Address 2 Of The Provider |
SUITE 108 |
City Of The Provider |
SAN JOSE |
Zip Code Of The Provider |
951121911 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
78 |
Number Of Services |
21835.9 |
Number Of Medicare Beneficiaries |
1577 |
Total Submitted Charge Amount |
2913462.5 |
Total Medicare Allowed Amount |
1315129.4 |
Total Medicare Payment Amount |
1021511.04 |
Total Medicare Standardized Payment Amount |
858893.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
11823.9 |
Number Of Medicare Beneficiaries With Drug Services |
481 |
Total Drug Submitted ChargeAmount |
91652 |
Total Drug Medicare AllowedAmount |
40458.1 |
Total Drug Medicare PaymentAmount |
32173.17 |
Total Drug Medicare Standardized Payment Amount |
32173.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
10012 |
Number Of Medicare Beneficiaries With Medical Services |
1577 |
Total Medical Submitted Charge Amount |
2821810.5 |
Total Medical Medicare Allowed Amount |
1274671.3 |
Total Medical Medicare Payment Amount |
989337.87 |
Total Medical Medicare Standardized Payment Amount |
826720.49 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
479 |
Number Of Beneficiaries Age 75 to 84 |
652 |
Number Of Beneficiaries Age Greater 84 |
359 |
Number Of Female Beneficiaries |
790 |
Number Of Male Beneficiaries |
787 |
Number Of Non Hispanic White Beneficiaries |
116 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1285 |
Number Of Hispanic Beneficiaries |
133 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
204 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1373 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
23 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8134 |