National Provider Identifier [NPI]: |
1003868282 |
Last Name Of The Provider |
CIULLA |
First Name Of The Provider |
ANTHONY |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22266 HIGHWAY 25 |
Street Address 2 Of The Provider |
|
City Of The Provider |
COLUMBIANA |
Zip Code Of The Provider |
350518618 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
159 |
Number Of Services |
8935 |
Number Of Medicare Beneficiaries |
404 |
Total Submitted Charge Amount |
348066.5 |
Total Medicare Allowed Amount |
263713.38 |
Total Medicare Payment Amount |
205043.33 |
Total Medicare Standardized Payment Amount |
217413.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
821 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
8884.5 |
Total Drug Medicare AllowedAmount |
5859.27 |
Total Drug Medicare PaymentAmount |
5081.11 |
Total Drug Medicare Standardized Payment Amount |
5081.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
8114 |
Number Of Medicare Beneficiaries With Medical Services |
404 |
Total Medical Submitted Charge Amount |
339182 |
Total Medical Medicare Allowed Amount |
257854.11 |
Total Medical Medicare Payment Amount |
199962.22 |
Total Medical Medicare Standardized Payment Amount |
212332.57 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
165 |
Number Of Non Hispanic White Beneficiaries |
393 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
341 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
63 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.2806 |