National Provider Identifier [NPI]: |
1750372587 |
Last Name Of The Provider |
TRUONG |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10340 SPOTSYLVANIA AVE. |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
FREDERICKSBURG |
Zip Code Of The Provider |
22408 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
7932 |
Number Of Medicare Beneficiaries |
443 |
Total Submitted Charge Amount |
861399.99 |
Total Medicare Allowed Amount |
342861.76 |
Total Medicare Payment Amount |
258545.87 |
Total Medicare Standardized Payment Amount |
238428.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
2189 |
Number Of Medicare Beneficiaries With Drug Services |
262 |
Total Drug Submitted ChargeAmount |
119738.99 |
Total Drug Medicare AllowedAmount |
51365.2 |
Total Drug Medicare PaymentAmount |
39972.68 |
Total Drug Medicare Standardized Payment Amount |
39972.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
5743 |
Number Of Medicare Beneficiaries With Medical Services |
443 |
Total Medical Submitted Charge Amount |
741661 |
Total Medical Medicare Allowed Amount |
291496.56 |
Total Medical Medicare Payment Amount |
218573.19 |
Total Medical Medicare Standardized Payment Amount |
198456.13 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
240 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
270 |
Number Of Male Beneficiaries |
173 |
Number Of Non Hispanic White Beneficiaries |
366 |
Number Of Black or African American Beneficiaries |
62 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
412 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
31 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.069 |