National Provider Identifier [NPI]: |
1881630861 |
Last Name Of The Provider |
ISUANI |
First Name Of The Provider |
BERNARDO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1255 HILYARD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
97401 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
255 |
Number Of Services |
12991 |
Number Of Medicare Beneficiaries |
3221 |
Total Submitted Charge Amount |
1076514.73 |
Total Medicare Allowed Amount |
282622.03 |
Total Medicare Payment Amount |
219792.74 |
Total Medicare Standardized Payment Amount |
229596.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6590 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
19845 |
Total Drug Medicare AllowedAmount |
1316.51 |
Total Drug Medicare PaymentAmount |
973.66 |
Total Drug Medicare Standardized Payment Amount |
973.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
253 |
Number Of Medical Services |
6401 |
Number Of Medicare Beneficiaries With Medical Services |
3221 |
Total Medical Submitted Charge Amount |
1056669.73 |
Total Medical Medicare Allowed Amount |
281305.52 |
Total Medical Medicare Payment Amount |
218819.08 |
Total Medical Medicare Standardized Payment Amount |
228622.37 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
576 |
Number Of Beneficiaries Age 65 to 74 |
1320 |
Number Of Beneficiaries Age 75 to 84 |
881 |
Number Of Beneficiaries Age Greater 84 |
444 |
Number Of Female Beneficiaries |
1917 |
Number Of Male Beneficiaries |
1304 |
Number Of Non Hispanic White Beneficiaries |
2992 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
67 |
Number Of American Indian Alaska Native Beneficiaries |
66 |
Number Of Beneficiaries With Race Not Else where Classified |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2459 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
762 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4662 |