National Provider Identifier [NPI]: |
1013013416 |
Last Name Of The Provider |
NGUYEN |
First Name Of The Provider |
DUC |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 WHIPPLE AVE |
Street Address 2 Of The Provider |
SUITE 145 |
City Of The Provider |
REDWOOD CITY |
Zip Code Of The Provider |
940622843 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
2328 |
Number Of Medicare Beneficiaries |
486 |
Total Submitted Charge Amount |
1039527 |
Total Medicare Allowed Amount |
328170.89 |
Total Medicare Payment Amount |
246950.16 |
Total Medicare Standardized Payment Amount |
212924.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
211 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
18926 |
Total Drug Medicare AllowedAmount |
5487.28 |
Total Drug Medicare PaymentAmount |
4297.99 |
Total Drug Medicare Standardized Payment Amount |
4297.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
108 |
Number Of Medical Services |
2117 |
Number Of Medicare Beneficiaries With Medical Services |
486 |
Total Medical Submitted Charge Amount |
1020601 |
Total Medical Medicare Allowed Amount |
322683.61 |
Total Medical Medicare Payment Amount |
242652.17 |
Total Medical Medicare Standardized Payment Amount |
208626.95 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
144 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
333 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
400 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2772 |