National Provider Identifier [NPI]: |
1093755357 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
VU |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1301 W 38TH ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787051000 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4148 |
Number Of Medicare Beneficiaries |
978 |
Total Submitted Charge Amount |
1688317 |
Total Medicare Allowed Amount |
420934.36 |
Total Medicare Payment Amount |
319813.73 |
Total Medicare Standardized Payment Amount |
322652.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
308 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
44348 |
Total Drug Medicare AllowedAmount |
16300.6 |
Total Drug Medicare PaymentAmount |
12343.89 |
Total Drug Medicare Standardized Payment Amount |
12343.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3840 |
Number Of Medicare Beneficiaries With Medical Services |
978 |
Total Medical Submitted Charge Amount |
1643969 |
Total Medical Medicare Allowed Amount |
404633.76 |
Total Medical Medicare Payment Amount |
307469.84 |
Total Medical Medicare Standardized Payment Amount |
310308.2 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
304 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
452 |
Number Of Non Hispanic White Beneficiaries |
685 |
Number Of Black or African American Beneficiaries |
119 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
136 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
759 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
219 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.6446 |