National Provider Identifier [NPI]: |
1285603639 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
VINH-LINH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 OLD RIVER RD |
Street Address 2 Of The Provider |
SUITE 205 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933119504 |
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 |
98 |
Number Of Services |
236113 |
Number Of Medicare Beneficiaries |
399 |
Total Submitted Charge Amount |
4985290.24 |
Total Medicare Allowed Amount |
1841201.54 |
Total Medicare Payment Amount |
1423487.52 |
Total Medicare Standardized Payment Amount |
1422253.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
61 |
Number Of Drug Services |
228562 |
Number Of Medicare Beneficiaries With Drug Services |
180 |
Total Drug Submitted ChargeAmount |
3435340 |
Total Drug Medicare AllowedAmount |
1357344.03 |
Total Drug Medicare PaymentAmount |
1059418.62 |
Total Drug Medicare Standardized Payment Amount |
1059418.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
7551 |
Number Of Medicare Beneficiaries With Medical Services |
399 |
Total Medical Submitted Charge Amount |
1549950.24 |
Total Medical Medicare Allowed Amount |
483857.51 |
Total Medical Medicare Payment Amount |
364068.9 |
Total Medical Medicare Standardized Payment Amount |
362834.93 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
194 |
Number Of Beneficiaries Age 75 to 84 |
107 |
Number Of Beneficiaries Age Greater 84 |
35 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
140 |
Number Of Non Hispanic White Beneficiaries |
289 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
71 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
297 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
102 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8242 |