National Provider Identifier [NPI]: |
1598950172 |
Last Name Of The Provider |
TRUONG |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D., M.P.H. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1365 CLIFTON RD NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303221013 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1524 |
Number Of Medicare Beneficiaries |
474 |
Total Submitted Charge Amount |
576385 |
Total Medicare Allowed Amount |
172353.61 |
Total Medicare Payment Amount |
132336.68 |
Total Medicare Standardized Payment Amount |
131600.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
16 |
Number Of Medicare Beneficiaries With Drug Services |
16 |
Total Drug Submitted ChargeAmount |
2026 |
Total Drug Medicare AllowedAmount |
531.6 |
Total Drug Medicare PaymentAmount |
444.66 |
Total Drug Medicare Standardized Payment Amount |
444.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
1508 |
Number Of Medicare Beneficiaries With Medical Services |
474 |
Total Medical Submitted Charge Amount |
574359 |
Total Medical Medicare Allowed Amount |
171822.01 |
Total Medical Medicare Payment Amount |
131892.02 |
Total Medical Medicare Standardized Payment Amount |
131156.12 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
277 |
Number Of Male Beneficiaries |
197 |
Number Of Non Hispanic White Beneficiaries |
169 |
Number Of Black or African American Beneficiaries |
285 |
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 |
279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
195 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
64 |
Percent Of With Chronic Kidney Disease |
63 |
Percent Of With Chronic Obstructive Pulmonary Disease |
44 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.3631 |