National Provider Identifier [NPI]: |
1467471177 |
Last Name Of The Provider |
NGO |
First Name Of The Provider |
LINH |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3409 CALLOWAY DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BAKERSFIELD |
Zip Code Of The Provider |
933122517 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
2284 |
Number Of Medicare Beneficiaries |
520 |
Total Submitted Charge Amount |
169075 |
Total Medicare Allowed Amount |
103619.61 |
Total Medicare Payment Amount |
69446.06 |
Total Medicare Standardized Payment Amount |
67128.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
701 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
16020 |
Total Drug Medicare AllowedAmount |
1261.56 |
Total Drug Medicare PaymentAmount |
842.91 |
Total Drug Medicare Standardized Payment Amount |
842.91 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
1583 |
Number Of Medicare Beneficiaries With Medical Services |
520 |
Total Medical Submitted Charge Amount |
153055 |
Total Medical Medicare Allowed Amount |
102358.05 |
Total Medical Medicare Payment Amount |
68603.15 |
Total Medical Medicare Standardized Payment Amount |
66285.72 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
76 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
176 |
Number Of Non Hispanic White Beneficiaries |
443 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
55 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
467 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
53 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1204 |