National Provider Identifier [NPI]: |
1558323758 |
Last Name Of The Provider |
TRUONG |
First Name Of The Provider |
PHU |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3243 E MURDOCK ST |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672083052 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
190 |
Number Of Services |
227526 |
Number Of Medicare Beneficiaries |
932 |
Total Submitted Charge Amount |
7817377.2 |
Total Medicare Allowed Amount |
3705767.83 |
Total Medicare Payment Amount |
2878664.44 |
Total Medicare Standardized Payment Amount |
2894222.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
86 |
Number Of Drug Services |
213909 |
Number Of Medicare Beneficiaries With Drug Services |
391 |
Total Drug Submitted ChargeAmount |
6386155.2 |
Total Drug Medicare AllowedAmount |
3031092.89 |
Total Drug Medicare PaymentAmount |
2356391.76 |
Total Drug Medicare Standardized Payment Amount |
2356391.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
13617 |
Number Of Medicare Beneficiaries With Medical Services |
931 |
Total Medical Submitted Charge Amount |
1431222 |
Total Medical Medicare Allowed Amount |
674674.94 |
Total Medical Medicare Payment Amount |
522272.68 |
Total Medical Medicare Standardized Payment Amount |
537830.53 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
139 |
Number Of Beneficiaries Age 65 to 74 |
386 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
101 |
Number Of Female Beneficiaries |
546 |
Number Of Male Beneficiaries |
386 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
174 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
52 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8547 |