National Provider Identifier [NPI]: |
1952583338 |
Last Name Of The Provider |
VU |
First Name Of The Provider |
TRUNG |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10110 MOLECULAR DR |
Street Address 2 Of The Provider |
#206 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208507539 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
4873 |
Number Of Medicare Beneficiaries |
445 |
Total Submitted Charge Amount |
460155 |
Total Medicare Allowed Amount |
272428.93 |
Total Medicare Payment Amount |
207940.96 |
Total Medicare Standardized Payment Amount |
188074.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2353 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
23530 |
Total Drug Medicare AllowedAmount |
12380.77 |
Total Drug Medicare PaymentAmount |
9706.59 |
Total Drug Medicare Standardized Payment Amount |
9706.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2520 |
Number Of Medicare Beneficiaries With Medical Services |
445 |
Total Medical Submitted Charge Amount |
436625 |
Total Medical Medicare Allowed Amount |
260048.16 |
Total Medical Medicare Payment Amount |
198234.37 |
Total Medical Medicare Standardized Payment Amount |
178367.89 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
186 |
Number Of Female Beneficiaries |
285 |
Number Of Male Beneficiaries |
160 |
Number Of Non Hispanic White Beneficiaries |
314 |
Number Of Black or African American Beneficiaries |
88 |
Number Of AsianPacific Islander Beneficiaries |
22 |
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 |
306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
50 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
17 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.0559 |