National Provider Identifier [NPI]: |
1336145531 |
Last Name Of The Provider |
BRUNO |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1155 MILL STREET |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895201576 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
223 |
Number Of Services |
3665 |
Number Of Medicare Beneficiaries |
1812 |
Total Submitted Charge Amount |
991026.96 |
Total Medicare Allowed Amount |
220166.83 |
Total Medicare Payment Amount |
168347.05 |
Total Medicare Standardized Payment Amount |
167487.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
426 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
868.78 |
Total Drug Medicare AllowedAmount |
644.96 |
Total Drug Medicare PaymentAmount |
493.12 |
Total Drug Medicare Standardized Payment Amount |
493.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
221 |
Number Of Medical Services |
3239 |
Number Of Medicare Beneficiaries With Medical Services |
1812 |
Total Medical Submitted Charge Amount |
990158.18 |
Total Medical Medicare Allowed Amount |
219521.87 |
Total Medical Medicare Payment Amount |
167853.93 |
Total Medical Medicare Standardized Payment Amount |
166994.31 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
392 |
Number Of Beneficiaries Age 65 to 74 |
787 |
Number Of Beneficiaries Age 75 to 84 |
459 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
988 |
Number Of Male Beneficiaries |
824 |
Number Of Non Hispanic White Beneficiaries |
1536 |
Number Of Black or African American Beneficiaries |
61 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
31 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1345 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
467 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
1.605 |