National Provider Identifier [NPI]: |
1043251044 |
Last Name Of The Provider |
VO |
First Name Of The Provider |
THINH |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1213 HERMANN DR |
Street Address 2 Of The Provider |
570 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770047018 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
4258 |
Number Of Medicare Beneficiaries |
419 |
Total Submitted Charge Amount |
539697.33 |
Total Medicare Allowed Amount |
518631.25 |
Total Medicare Payment Amount |
403614.81 |
Total Medicare Standardized Payment Amount |
400483.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
44 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
975.84 |
Total Drug Medicare AllowedAmount |
833.1 |
Total Drug Medicare PaymentAmount |
808.17 |
Total Drug Medicare Standardized Payment Amount |
808.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4214 |
Number Of Medicare Beneficiaries With Medical Services |
419 |
Total Medical Submitted Charge Amount |
538721.49 |
Total Medical Medicare Allowed Amount |
517798.15 |
Total Medical Medicare Payment Amount |
402806.64 |
Total Medical Medicare Standardized Payment Amount |
399675.62 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
102 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
128 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
199 |
Number Of Non Hispanic White Beneficiaries |
159 |
Number Of Black or African American Beneficiaries |
208 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
226 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
26 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
61 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
3.6158 |