National Provider Identifier [NPI]: |
1275524357 |
Last Name Of The Provider |
KUZO |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
35004 |
Number Of Medicare Beneficiaries |
3338 |
Total Submitted Charge Amount |
378040.3 |
Total Medicare Allowed Amount |
237785.6 |
Total Medicare Payment Amount |
174834.9 |
Total Medicare Standardized Payment Amount |
194306.37 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
30304 |
Number Of Medicare Beneficiaries With Drug Services |
237 |
Total Drug Submitted ChargeAmount |
7759.34 |
Total Drug Medicare AllowedAmount |
5558.96 |
Total Drug Medicare PaymentAmount |
3651.36 |
Total Drug Medicare Standardized Payment Amount |
3651.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4700 |
Number Of Medicare Beneficiaries With Medical Services |
3337 |
Total Medical Submitted Charge Amount |
370280.96 |
Total Medical Medicare Allowed Amount |
232226.64 |
Total Medical Medicare Payment Amount |
171183.54 |
Total Medical Medicare Standardized Payment Amount |
190655.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
402 |
Number Of Beneficiaries Age 65 to 74 |
1446 |
Number Of Beneficiaries Age 75 to 84 |
1128 |
Number Of Beneficiaries Age Greater 84 |
362 |
Number Of Female Beneficiaries |
1533 |
Number Of Male Beneficiaries |
1805 |
Number Of Non Hispanic White Beneficiaries |
3159 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
37 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
22 |
Number Of Beneficiaries With Race Not Else where Classified |
47 |
Number Of Beneficiaries With Medicare Only Entitlement |
3067 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
271 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5865 |