National Provider Identifier [NPI]: |
1477761369 |
Last Name Of The Provider |
BUGNONE |
First Name Of The Provider |
ALEJANDRO |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
429 UMAR AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MCALLEN |
Zip Code Of The Provider |
78504 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
142 |
Number Of Services |
6989 |
Number Of Medicare Beneficiaries |
2730 |
Total Submitted Charge Amount |
939541.95 |
Total Medicare Allowed Amount |
215906.93 |
Total Medicare Payment Amount |
165628.71 |
Total Medicare Standardized Payment Amount |
168754.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2066 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
3635 |
Total Drug Medicare AllowedAmount |
653.24 |
Total Drug Medicare PaymentAmount |
512.09 |
Total Drug Medicare Standardized Payment Amount |
512.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
4923 |
Number Of Medicare Beneficiaries With Medical Services |
2730 |
Total Medical Submitted Charge Amount |
935906.95 |
Total Medical Medicare Allowed Amount |
215253.69 |
Total Medical Medicare Payment Amount |
165116.62 |
Total Medical Medicare Standardized Payment Amount |
168242.01 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
493 |
Number Of Beneficiaries Age 65 to 74 |
1013 |
Number Of Beneficiaries Age 75 to 84 |
847 |
Number Of Beneficiaries Age Greater 84 |
377 |
Number Of Female Beneficiaries |
1635 |
Number Of Male Beneficiaries |
1095 |
Number Of Non Hispanic White Beneficiaries |
484 |
Number Of Black or African American Beneficiaries |
27 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
2201 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
842 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1888 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
53 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.726 |