National Provider Identifier [NPI]: |
1760463293 |
Last Name Of The Provider |
VU |
First Name Of The Provider |
TOAN |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1341 THORPE LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN MARCOS |
Zip Code Of The Provider |
786667113 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
2468 |
Number Of Medicare Beneficiaries |
752 |
Total Submitted Charge Amount |
468218 |
Total Medicare Allowed Amount |
262706.11 |
Total Medicare Payment Amount |
194164.15 |
Total Medicare Standardized Payment Amount |
201200.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
197 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
1940 |
Total Drug Medicare AllowedAmount |
350.67 |
Total Drug Medicare PaymentAmount |
269.29 |
Total Drug Medicare Standardized Payment Amount |
269.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
2271 |
Number Of Medicare Beneficiaries With Medical Services |
752 |
Total Medical Submitted Charge Amount |
466278 |
Total Medical Medicare Allowed Amount |
262355.44 |
Total Medical Medicare Payment Amount |
193894.86 |
Total Medical Medicare Standardized Payment Amount |
200931.24 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
156 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
238 |
Number Of Beneficiaries Age Greater 84 |
116 |
Number Of Female Beneficiaries |
434 |
Number Of Male Beneficiaries |
318 |
Number Of Non Hispanic White Beneficiaries |
569 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
141 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
550 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
202 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
37 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.4347 |