National Provider Identifier [NPI]: |
1255539326 |
Last Name Of The Provider |
TRAN |
First Name Of The Provider |
NHA |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 K STREET |
Street Address 2 Of The Provider |
SUITE 502 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958165119 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
14446 |
Number Of Medicare Beneficiaries |
3674 |
Total Submitted Charge Amount |
1243311.15 |
Total Medicare Allowed Amount |
261919.07 |
Total Medicare Payment Amount |
197804.23 |
Total Medicare Standardized Payment Amount |
191643.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8223 |
Number Of Medicare Beneficiaries With Drug Services |
110 |
Total Drug Submitted ChargeAmount |
8649 |
Total Drug Medicare AllowedAmount |
1631.21 |
Total Drug Medicare PaymentAmount |
1154.03 |
Total Drug Medicare Standardized Payment Amount |
1154.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
6223 |
Number Of Medicare Beneficiaries With Medical Services |
3674 |
Total Medical Submitted Charge Amount |
1234662.15 |
Total Medical Medicare Allowed Amount |
260287.86 |
Total Medical Medicare Payment Amount |
196650.2 |
Total Medical Medicare Standardized Payment Amount |
190489.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
656 |
Number Of Beneficiaries Age 65 to 74 |
1422 |
Number Of Beneficiaries Age 75 to 84 |
1071 |
Number Of Beneficiaries Age Greater 84 |
525 |
Number Of Female Beneficiaries |
2261 |
Number Of Male Beneficiaries |
1413 |
Number Of Non Hispanic White Beneficiaries |
2488 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
194 |
Number Of Hispanic Beneficiaries |
830 |
Number Of American Indian Alaska Native Beneficiaries |
20 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
1913 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1761 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6456 |