National Provider Identifier [NPI]: |
1760459911 |
Last Name Of The Provider |
DUTHINH |
First Name Of The Provider |
VUONG |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3399 POLLOCK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND BLANC |
Zip Code Of The Provider |
484398393 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
4154 |
Number Of Medicare Beneficiaries |
1629 |
Total Submitted Charge Amount |
469783.57 |
Total Medicare Allowed Amount |
275516.76 |
Total Medicare Payment Amount |
204355.73 |
Total Medicare Standardized Payment Amount |
212155.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4154 |
Number Of Medicare Beneficiaries With Medical Services |
1629 |
Total Medical Submitted Charge Amount |
469783.57 |
Total Medical Medicare Allowed Amount |
275516.76 |
Total Medical Medicare Payment Amount |
204355.73 |
Total Medical Medicare Standardized Payment Amount |
212155.23 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
490 |
Number Of Beneficiaries Age 75 to 84 |
557 |
Number Of Beneficiaries Age Greater 84 |
335 |
Number Of Female Beneficiaries |
782 |
Number Of Male Beneficiaries |
847 |
Number Of Non Hispanic White Beneficiaries |
1469 |
Number Of Black or African American Beneficiaries |
125 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
302 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.124 |