National Provider Identifier [NPI]: |
1922045434 |
Last Name Of The Provider |
TURLINGTON |
First Name Of The Provider |
BRUCE |
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 |
3205 S RUSSELL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
MISSOULA |
Zip Code Of The Provider |
598018536 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
3061 |
Number Of Medicare Beneficiaries |
1920 |
Total Submitted Charge Amount |
294185 |
Total Medicare Allowed Amount |
108175.3 |
Total Medicare Payment Amount |
87963.68 |
Total Medicare Standardized Payment Amount |
87905.59 |
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 |
173 |
Number Of Medical Services |
3061 |
Number Of Medicare Beneficiaries With Medical Services |
1920 |
Total Medical Submitted Charge Amount |
294185 |
Total Medical Medicare Allowed Amount |
108175.3 |
Total Medical Medicare Payment Amount |
87963.68 |
Total Medical Medicare Standardized Payment Amount |
87905.59 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
303 |
Number Of Beneficiaries Age 65 to 74 |
875 |
Number Of Beneficiaries Age 75 to 84 |
522 |
Number Of Beneficiaries Age Greater 84 |
220 |
Number Of Female Beneficiaries |
1319 |
Number Of Male Beneficiaries |
601 |
Number Of Non Hispanic White Beneficiaries |
1812 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
58 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1539 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
381 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1591 |