| National Provider Identifier [NPI]: | 1124108261 |
| Last Name Of The Provider | NGUYEN |
| First Name Of The Provider | VINH |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3999 RICHMOND RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | BEACHWOOD |
| Zip Code Of The Provider | 441226046 |
| State Code Of The Provider | OH |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 156 |
| Number Of Services | 11153 |
| Number Of Medicare Beneficiaries | 3332 |
| Total Submitted Charge Amount | 632258 |
| Total Medicare Allowed Amount | 198743.49 |
| Total Medicare Payment Amount | 149556.06 |
| Total Medicare Standardized Payment Amount | 157072.27 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 6210 |
| Number Of Medicare Beneficiaries With Drug Services | 66 |
| Total Drug Submitted ChargeAmount | 10200 |
| Total Drug Medicare AllowedAmount | 1408.45 |
| Total Drug Medicare PaymentAmount | 1066.78 |
| Total Drug Medicare Standardized Payment Amount | 1066.78 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 154 |
| Number Of Medical Services | 4943 |
| Number Of Medicare Beneficiaries With Medical Services | 3332 |
| Total Medical Submitted Charge Amount | 622058 |
| Total Medical Medicare Allowed Amount | 197335.04 |
| Total Medical Medicare Payment Amount | 148489.28 |
| Total Medical Medicare Standardized Payment Amount | 156005.49 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 571 |
| Number Of Beneficiaries Age 65 to 74 | 1105 |
| Number Of Beneficiaries Age 75 to 84 | 955 |
| Number Of Beneficiaries Age Greater 84 | 701 |
| Number Of Female Beneficiaries | 1978 |
| Number Of Male Beneficiaries | 1354 |
| Number Of Non Hispanic White Beneficiaries | 2439 |
| Number Of Black or African American Beneficiaries | 779 |
| Number Of AsianPacific Islander Beneficiaries | 14 |
| Number Of Hispanic Beneficiaries | 50 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 50 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2441 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 891 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 40 |
| Percent Of With Chronic Kidney Disease | 43 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 31 |
| Percent Of With Depression | 34 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 56 |
| Percent Of With Osteoporosis | 11 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 55 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 11 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 2.0894 |