National Provider Identifier [NPI]: |
1528295961 |
Last Name Of The Provider |
VU |
First Name Of The Provider |
TUYET-NGA |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29 EASTBROOK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
RONKS |
Zip Code Of The Provider |
175729769 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
2066 |
Number Of Medicare Beneficiaries |
283 |
Total Submitted Charge Amount |
126403 |
Total Medicare Allowed Amount |
75965.65 |
Total Medicare Payment Amount |
59352.39 |
Total Medicare Standardized Payment Amount |
61514.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
130 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
5787 |
Total Drug Medicare AllowedAmount |
3985.09 |
Total Drug Medicare PaymentAmount |
3864.7 |
Total Drug Medicare Standardized Payment Amount |
3864.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
1936 |
Number Of Medicare Beneficiaries With Medical Services |
283 |
Total Medical Submitted Charge Amount |
120616 |
Total Medical Medicare Allowed Amount |
71980.56 |
Total Medical Medicare Payment Amount |
55487.69 |
Total Medical Medicare Standardized Payment Amount |
57649.85 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
112 |
Number Of Non Hispanic White Beneficiaries |
265 |
Number Of Black or African American Beneficiaries |
|
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 |
270 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0922 |