National Provider Identifier [NPI]: |
1154359156 |
Last Name Of The Provider |
IULIANO |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
888 SWIFT BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHLAND |
Zip Code Of The Provider |
99352 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
205 |
Number Of Services |
4134 |
Number Of Medicare Beneficiaries |
2659 |
Total Submitted Charge Amount |
470133.46 |
Total Medicare Allowed Amount |
160737.77 |
Total Medicare Payment Amount |
117533.7 |
Total Medicare Standardized Payment Amount |
121690.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
205 |
Number Of Medical Services |
4134 |
Number Of Medicare Beneficiaries With Medical Services |
2659 |
Total Medical Submitted Charge Amount |
470133.46 |
Total Medical Medicare Allowed Amount |
160737.77 |
Total Medical Medicare Payment Amount |
117533.7 |
Total Medical Medicare Standardized Payment Amount |
121690.82 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
433 |
Number Of Beneficiaries Age 65 to 74 |
1030 |
Number Of Beneficiaries Age 75 to 84 |
809 |
Number Of Beneficiaries Age Greater 84 |
387 |
Number Of Female Beneficiaries |
1478 |
Number Of Male Beneficiaries |
1181 |
Number Of Non Hispanic White Beneficiaries |
2342 |
Number Of Black or African American Beneficiaries |
25 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
192 |
Number Of American Indian Alaska Native Beneficiaries |
23 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
2084 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
575 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.526 |