National Provider Identifier [NPI]: |
1962463919 |
Last Name Of The Provider |
BUENANO |
First Name Of The Provider |
ALVARO |
Middle Initial Of The Provider |
I |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 FEDERAL ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEAFORD |
Zip Code Of The Provider |
199735764 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
14360 |
Number Of Medicare Beneficiaries |
3361 |
Total Submitted Charge Amount |
1426042 |
Total Medicare Allowed Amount |
705447.85 |
Total Medicare Payment Amount |
541780.09 |
Total Medicare Standardized Payment Amount |
535061.1 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
762 |
Number Of Medicare Beneficiaries With Drug Services |
125 |
Total Drug Submitted ChargeAmount |
20660 |
Total Drug Medicare AllowedAmount |
800.12 |
Total Drug Medicare PaymentAmount |
623.16 |
Total Drug Medicare Standardized Payment Amount |
623.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
13598 |
Number Of Medicare Beneficiaries With Medical Services |
3361 |
Total Medical Submitted Charge Amount |
1405382 |
Total Medical Medicare Allowed Amount |
704647.73 |
Total Medical Medicare Payment Amount |
541156.93 |
Total Medical Medicare Standardized Payment Amount |
534437.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
507 |
Number Of Beneficiaries Age 65 to 74 |
1229 |
Number Of Beneficiaries Age 75 to 84 |
1085 |
Number Of Beneficiaries Age Greater 84 |
540 |
Number Of Female Beneficiaries |
1827 |
Number Of Male Beneficiaries |
1534 |
Number Of Non Hispanic White Beneficiaries |
2744 |
Number Of Black or African American Beneficiaries |
525 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
860 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
1.7931 |