National Provider Identifier [NPI]: |
1841372315 |
Last Name Of The Provider |
DUONG |
First Name Of The Provider |
THUC |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7260 E SOUTHGATE DR |
Street Address 2 Of The Provider |
STE. D |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958232609 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
3002 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
198697 |
Total Medicare Allowed Amount |
186476.22 |
Total Medicare Payment Amount |
109433.4 |
Total Medicare Standardized Payment Amount |
105644.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
316 |
Number Of Medicare Beneficiaries With Drug Services |
309 |
Total Drug Submitted ChargeAmount |
11110 |
Total Drug Medicare AllowedAmount |
10324.59 |
Total Drug Medicare PaymentAmount |
10117.32 |
Total Drug Medicare Standardized Payment Amount |
10117.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
5 |
Number Of Medical Services |
2686 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
187587 |
Total Medical Medicare Allowed Amount |
176151.63 |
Total Medical Medicare Payment Amount |
99316.08 |
Total Medical Medicare Standardized Payment Amount |
95527.31 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
153 |
Number Of Beneficiaries Age Greater 84 |
45 |
Number Of Female Beneficiaries |
262 |
Number Of Male Beneficiaries |
301 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
540 |
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 |
16 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
547 |
Percent Of With Atrial Fibrillation |
2 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
2 |
Percent Of With Heart Failure |
5 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
2 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
6 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8351 |