National Provider Identifier [NPI]: |
1881780534 |
Last Name Of The Provider |
BUJOSA |
First Name Of The Provider |
PEDRO |
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 |
691 MURPHY RD |
Street Address 2 Of The Provider |
SUITE 107 |
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
97504 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
175 |
Number Of Services |
6340 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
383348 |
Total Medicare Allowed Amount |
154171.27 |
Total Medicare Payment Amount |
112724.9 |
Total Medicare Standardized Payment Amount |
118417.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
2060 |
Number Of Medicare Beneficiaries With Drug Services |
61 |
Total Drug Submitted ChargeAmount |
5673 |
Total Drug Medicare AllowedAmount |
3001.98 |
Total Drug Medicare PaymentAmount |
2801.5 |
Total Drug Medicare Standardized Payment Amount |
2801.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
159 |
Number Of Medical Services |
4280 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
377675 |
Total Medical Medicare Allowed Amount |
151169.29 |
Total Medical Medicare Payment Amount |
109923.4 |
Total Medical Medicare Standardized Payment Amount |
115615.51 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
169 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
260 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
248 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0569 |