National Provider Identifier [NPI]: |
1902858962 |
Last Name Of The Provider |
HOANG |
First Name Of The Provider |
DUNG |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3848 VETERANS MEMORIAL BLVD 101 |
Street Address 2 Of The Provider |
|
City Of The Provider |
METAIRIE |
Zip Code Of The Provider |
700025636 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
2702 |
Number Of Medicare Beneficiaries |
284 |
Total Submitted Charge Amount |
359868 |
Total Medicare Allowed Amount |
186818.8 |
Total Medicare Payment Amount |
132947.43 |
Total Medicare Standardized Payment Amount |
139136.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
455 |
Number Of Medicare Beneficiaries With Drug Services |
127 |
Total Drug Submitted ChargeAmount |
7130 |
Total Drug Medicare AllowedAmount |
3155.55 |
Total Drug Medicare PaymentAmount |
2668.7 |
Total Drug Medicare Standardized Payment Amount |
2668.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
86 |
Number Of Medical Services |
2247 |
Number Of Medicare Beneficiaries With Medical Services |
284 |
Total Medical Submitted Charge Amount |
352738 |
Total Medical Medicare Allowed Amount |
183663.25 |
Total Medical Medicare Payment Amount |
130278.73 |
Total Medical Medicare Standardized Payment Amount |
136467.82 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
58 |
Number Of Beneficiaries Age Greater 84 |
40 |
Number Of Female Beneficiaries |
171 |
Number Of Male Beneficiaries |
113 |
Number Of Non Hispanic White Beneficiaries |
177 |
Number Of Black or African American Beneficiaries |
45 |
Number Of AsianPacific Islander Beneficiaries |
47 |
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 |
194 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
90 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9583 |