National Provider Identifier [NPI]: |
1033244553 |
Last Name Of The Provider |
TRINH |
First Name Of The Provider |
TUAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
710 E PIONEER PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND PRAIRIE |
Zip Code Of The Provider |
750514958 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
2731 |
Number Of Medicare Beneficiaries |
210 |
Total Submitted Charge Amount |
120075.75 |
Total Medicare Allowed Amount |
60406.91 |
Total Medicare Payment Amount |
43053.41 |
Total Medicare Standardized Payment Amount |
44063.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
1140 |
Number Of Medicare Beneficiaries With Drug Services |
166 |
Total Drug Submitted ChargeAmount |
30353 |
Total Drug Medicare AllowedAmount |
751.61 |
Total Drug Medicare PaymentAmount |
546.56 |
Total Drug Medicare Standardized Payment Amount |
546.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
1591 |
Number Of Medicare Beneficiaries With Medical Services |
210 |
Total Medical Submitted Charge Amount |
89722.75 |
Total Medical Medicare Allowed Amount |
59655.3 |
Total Medical Medicare Payment Amount |
42506.85 |
Total Medical Medicare Standardized Payment Amount |
43516.67 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
58 |
Number Of Beneficiaries Age 65 to 74 |
98 |
Number Of Beneficiaries Age 75 to 84 |
42 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
118 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
29 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
157 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
96 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
114 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.1382 |