National Provider Identifier [NPI]: |
1043453335 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
VICTOR |
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 |
8595 PICARDY AVE STE 320 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BATON ROUGE |
Zip Code Of The Provider |
708093675 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Vascular Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
4054 |
Number Of Medicare Beneficiaries |
1174 |
Total Submitted Charge Amount |
1090751.91 |
Total Medicare Allowed Amount |
331102.59 |
Total Medicare Payment Amount |
255336.5 |
Total Medicare Standardized Payment Amount |
275317.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1500 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
1500 |
Total Drug Medicare AllowedAmount |
255.5 |
Total Drug Medicare PaymentAmount |
200.28 |
Total Drug Medicare Standardized Payment Amount |
200.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
2554 |
Number Of Medicare Beneficiaries With Medical Services |
1174 |
Total Medical Submitted Charge Amount |
1089251.91 |
Total Medical Medicare Allowed Amount |
330847.09 |
Total Medical Medicare Payment Amount |
255136.22 |
Total Medical Medicare Standardized Payment Amount |
275117.71 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
352 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
259 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
653 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
500 |
Number Of Black or African American Beneficiaries |
648 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
623 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
551 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
59 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.3777 |