| National Provider Identifier [NPI]: | 1518965748 |
| Last Name Of The Provider | BUFALINO |
| First Name Of The Provider | KEVIN |
| Middle Initial Of The Provider | T |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 100 CARNIE BLVD |
| Street Address 2 Of The Provider | SUITE B-5 |
| City Of The Provider | VOORHEES |
| Zip Code Of The Provider | 080434512 |
| State Code Of The Provider | NJ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 169 |
| Number Of Services | 5759.1 |
| Number Of Medicare Beneficiaries | 3782 |
| Total Submitted Charge Amount | 1545311.36 |
| Total Medicare Allowed Amount | 491961.15 |
| Total Medicare Payment Amount | 383402.25 |
| Total Medicare Standardized Payment Amount | 369206.83 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 286.1 |
| Number Of Medicare Beneficiaries With Drug Services | 14 |
| Total Drug Submitted ChargeAmount | 2354.36 |
| Total Drug Medicare AllowedAmount | 212.87 |
| Total Drug Medicare PaymentAmount | 166.88 |
| Total Drug Medicare Standardized Payment Amount | 166.88 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 165 |
| Number Of Medical Services | 5473 |
| Number Of Medicare Beneficiaries With Medical Services | 3782 |
| Total Medical Submitted Charge Amount | 1542957 |
| Total Medical Medicare Allowed Amount | 491748.28 |
| Total Medical Medicare Payment Amount | 383235.37 |
| Total Medical Medicare Standardized Payment Amount | 369039.95 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 492 |
| Number Of Beneficiaries Age 65 to 74 | 1449 |
| Number Of Beneficiaries Age 75 to 84 | 1087 |
| Number Of Beneficiaries Age Greater 84 | 754 |
| Number Of Female Beneficiaries | 2410 |
| Number Of Male Beneficiaries | 1372 |
| Number Of Non Hispanic White Beneficiaries | 3156 |
| Number Of Black or African American Beneficiaries | 384 |
| Number Of AsianPacific Islander Beneficiaries | 68 |
| Number Of Hispanic Beneficiaries | 114 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 60 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3254 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 528 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 18 |
| Percent Of With Asthma | 14 |
| Percent Of With Cancer | 18 |
| Percent Of With Heart Failure | 28 |
| Percent Of With Chronic Kidney Disease | 34 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 27 |
| Percent Of With Diabetes | 39 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 47 |
| Percent Of With Osteoporosis | 13 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 48 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 13 |
| Average HCC Risk Score Of Beneficiaries | 1.6013 |