| National Provider Identifier [NPI]: | 1316235526 |
| Last Name Of The Provider | BUENO |
| First Name Of The Provider | JULIANA |
| Middle Initial Of The Provider | M |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | LEE ST FL 1 |
| Street Address 2 Of The Provider | |
| City Of The Provider | CHARLOTTESVILLE |
| Zip Code Of The Provider | 229080001 |
| State Code Of The Provider | VA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 40 |
| Number Of Services | 20394 |
| Number Of Medicare Beneficiaries | 4027 |
| Total Submitted Charge Amount | 1685714.28 |
| Total Medicare Allowed Amount | 192292.55 |
| Total Medicare Payment Amount | 144598.94 |
| Total Medicare Standardized Payment Amount | 156149.46 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 12647 |
| Number Of Medicare Beneficiaries With Drug Services | 162 |
| Total Drug Submitted ChargeAmount | 15682.28 |
| Total Drug Medicare AllowedAmount | 2517.45 |
| Total Drug Medicare PaymentAmount | 1963.6 |
| Total Drug Medicare Standardized Payment Amount | 1963.6 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 38 |
| Number Of Medical Services | 7747 |
| Number Of Medicare Beneficiaries With Medical Services | 4027 |
| Total Medical Submitted Charge Amount | 1670032 |
| Total Medical Medicare Allowed Amount | 189775.1 |
| Total Medical Medicare Payment Amount | 142635.34 |
| Total Medical Medicare Standardized Payment Amount | 154185.86 |
| Average Age Of Beneficiaries | 70 |
| Number Of Beneficiaries Age Less65 | 922 |
| Number Of Beneficiaries Age 65 to 74 | 1609 |
| Number Of Beneficiaries Age 75 to 84 | 1080 |
| Number Of Beneficiaries Age Greater 84 | 416 |
| Number Of Female Beneficiaries | 1994 |
| Number Of Male Beneficiaries | 2033 |
| Number Of Non Hispanic White Beneficiaries | 3312 |
| Number Of Black or African American Beneficiaries | 606 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 26 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 57 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2952 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1075 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 13 |
| Percent Of With Cancer | 21 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 45 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 32 |
| Percent Of With Depression | 32 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 62 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 6 |
| Percent Of With Stroke | 10 |
| Average HCC Risk Score Of Beneficiaries | 2.0041 |