National Provider Identifier [NPI]: |
1306844766 |
Last Name Of The Provider |
BRUNO |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1099 S TOWNSHIP BLVD |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
PITTSTON |
Zip Code Of The Provider |
186403247 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
14120 |
Number Of Medicare Beneficiaries |
1957 |
Total Submitted Charge Amount |
941899.5 |
Total Medicare Allowed Amount |
532631.29 |
Total Medicare Payment Amount |
409346.8 |
Total Medicare Standardized Payment Amount |
397721.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
362 |
Number Of Medicare Beneficiaries With Drug Services |
261 |
Total Drug Submitted ChargeAmount |
13240 |
Total Drug Medicare AllowedAmount |
10660.66 |
Total Drug Medicare PaymentAmount |
10357.24 |
Total Drug Medicare Standardized Payment Amount |
10357.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
13758 |
Number Of Medicare Beneficiaries With Medical Services |
1957 |
Total Medical Submitted Charge Amount |
928659.5 |
Total Medical Medicare Allowed Amount |
521970.63 |
Total Medical Medicare Payment Amount |
398989.56 |
Total Medical Medicare Standardized Payment Amount |
387364.68 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
308 |
Number Of Beneficiaries Age 65 to 74 |
661 |
Number Of Beneficiaries Age 75 to 84 |
585 |
Number Of Beneficiaries Age Greater 84 |
403 |
Number Of Female Beneficiaries |
1084 |
Number Of Male Beneficiaries |
873 |
Number Of Non Hispanic White Beneficiaries |
1873 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1488 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
469 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
60 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6663 |