Medicare Facts for Dr. Agustin V. Vitualla, MD


National Provider Identifier [NPI]: 1134217029
Last Name Of The Provider VITUALLA
First Name Of The Provider AGUSTIN
Middle Initial Of The Provider V
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 135 HOSPITAL DR
Street Address 2 Of The Provider
City Of The Provider CAMDEN
Zip Code Of The Provider 38320
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 54
Number Of Services 1054
Number Of Medicare Beneficiaries 102
Total Submitted Charge Amount 92484
Total Medicare Allowed Amount 55250.69
Total Medicare Payment Amount 38368.54
Total Medicare Standardized Payment Amount 42853.31
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 156
Number Of Medicare Beneficiaries With Drug Services 44
Total Drug Submitted ChargeAmount 3122
Total Drug Medicare AllowedAmount 666.68
Total Drug Medicare PaymentAmount 472.1
Total Drug Medicare Standardized Payment Amount 472.1
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 898
Number Of Medicare Beneficiaries With Medical Services 102
Total Medical Submitted Charge Amount 89362
Total Medical Medicare Allowed Amount 54584.01
Total Medical Medicare Payment Amount 37896.44
Total Medical Medicare Standardized Payment Amount 42381.21
Average Age Of Beneficiaries 63
Number Of Beneficiaries Age Less65 42
Number Of Beneficiaries Age 65 to 74 42
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 38
Number Of Male Beneficiaries 64
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
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 66
Number Of Beneficiaries With Medicare Medicaid Entitlement 36
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 27
Percent Of With Depression 31
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 55
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9302

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