National Provider Identifier [NPI]: |
1932100930 |
Last Name Of The Provider |
TOLINO |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7115 GUILFORD DR |
Street Address 2 Of The Provider |
SUITE 202 |
City Of The Provider |
FREDERICK |
Zip Code Of The Provider |
217045199 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Critical Care (Intensivists) |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
6438 |
Number Of Medicare Beneficiaries |
1537 |
Total Submitted Charge Amount |
942061.51 |
Total Medicare Allowed Amount |
507030.37 |
Total Medicare Payment Amount |
387860.12 |
Total Medicare Standardized Payment Amount |
382348.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
189 |
Number Of Medicare Beneficiaries With Drug Services |
102 |
Total Drug Submitted ChargeAmount |
8870 |
Total Drug Medicare AllowedAmount |
4648.13 |
Total Drug Medicare PaymentAmount |
4520.37 |
Total Drug Medicare Standardized Payment Amount |
4520.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
6249 |
Number Of Medicare Beneficiaries With Medical Services |
1537 |
Total Medical Submitted Charge Amount |
933191.51 |
Total Medical Medicare Allowed Amount |
502382.24 |
Total Medical Medicare Payment Amount |
383339.75 |
Total Medical Medicare Standardized Payment Amount |
377828.36 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
559 |
Number Of Beneficiaries Age 75 to 84 |
489 |
Number Of Beneficiaries Age Greater 84 |
280 |
Number Of Female Beneficiaries |
857 |
Number Of Male Beneficiaries |
680 |
Number Of Non Hispanic White Beneficiaries |
1393 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1281 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
49 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8876 |