National Provider Identifier [NPI]: |
1386955391 |
Last Name Of The Provider |
TUONO |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
810 HOSPITAL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLACKSBURG |
Zip Code Of The Provider |
240607023 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
5851 |
Number Of Medicare Beneficiaries |
704 |
Total Submitted Charge Amount |
441183 |
Total Medicare Allowed Amount |
287349.2 |
Total Medicare Payment Amount |
217914.01 |
Total Medicare Standardized Payment Amount |
210209.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
783 |
Number Of Medicare Beneficiaries With Drug Services |
158 |
Total Drug Submitted ChargeAmount |
15849 |
Total Drug Medicare AllowedAmount |
14506.97 |
Total Drug Medicare PaymentAmount |
12536.95 |
Total Drug Medicare Standardized Payment Amount |
12536.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
5068 |
Number Of Medicare Beneficiaries With Medical Services |
704 |
Total Medical Submitted Charge Amount |
425334 |
Total Medical Medicare Allowed Amount |
272842.23 |
Total Medical Medicare Payment Amount |
205377.06 |
Total Medical Medicare Standardized Payment Amount |
197672.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
236 |
Number Of Beneficiaries Age 75 to 84 |
205 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
368 |
Number Of Male Beneficiaries |
336 |
Number Of Non Hispanic White Beneficiaries |
665 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
546 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
158 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4358 |