National Provider Identifier [NPI]: |
1639149453 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
CHAU |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11920 ASTORIA BLVD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770896097 |
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 |
70 |
Number Of Services |
5481 |
Number Of Medicare Beneficiaries |
680 |
Total Submitted Charge Amount |
1231403 |
Total Medicare Allowed Amount |
550932.49 |
Total Medicare Payment Amount |
414204.24 |
Total Medicare Standardized Payment Amount |
426154.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
11580 |
Total Drug Medicare AllowedAmount |
1956.44 |
Total Drug Medicare PaymentAmount |
1509.46 |
Total Drug Medicare Standardized Payment Amount |
1509.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
5295 |
Number Of Medicare Beneficiaries With Medical Services |
680 |
Total Medical Submitted Charge Amount |
1219823 |
Total Medical Medicare Allowed Amount |
548976.05 |
Total Medical Medicare Payment Amount |
412694.78 |
Total Medical Medicare Standardized Payment Amount |
424644.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
66 |
Number Of Beneficiaries Age 65 to 74 |
260 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
351 |
Number Of Male Beneficiaries |
329 |
Number Of Non Hispanic White Beneficiaries |
293 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
222 |
Number Of Hispanic Beneficiaries |
89 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
396 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
284 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
68 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0053 |