National Provider Identifier [NPI]: |
1912004698 |
Last Name Of The Provider |
BUONO |
First Name Of The Provider |
DARREN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LANE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
206 |
Number Of Services |
20526 |
Number Of Medicare Beneficiaries |
2433 |
Total Submitted Charge Amount |
1173790.32 |
Total Medicare Allowed Amount |
328907.94 |
Total Medicare Payment Amount |
248416.76 |
Total Medicare Standardized Payment Amount |
243583.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
17303 |
Number Of Medicare Beneficiaries With Drug Services |
211 |
Total Drug Submitted ChargeAmount |
30176.22 |
Total Drug Medicare AllowedAmount |
6546.03 |
Total Drug Medicare PaymentAmount |
5008.99 |
Total Drug Medicare Standardized Payment Amount |
5008.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
200 |
Number Of Medical Services |
3223 |
Number Of Medicare Beneficiaries With Medical Services |
2432 |
Total Medical Submitted Charge Amount |
1143614.1 |
Total Medical Medicare Allowed Amount |
322361.91 |
Total Medical Medicare Payment Amount |
243407.77 |
Total Medical Medicare Standardized Payment Amount |
238574.36 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
629 |
Number Of Beneficiaries Age 65 to 74 |
776 |
Number Of Beneficiaries Age 75 to 84 |
605 |
Number Of Beneficiaries Age Greater 84 |
423 |
Number Of Female Beneficiaries |
1447 |
Number Of Male Beneficiaries |
986 |
Number Of Non Hispanic White Beneficiaries |
1673 |
Number Of Black or African American Beneficiaries |
285 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
405 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1589 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
844 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9922 |