National Provider Identifier [NPI]: |
1114950391 |
Last Name Of The Provider |
KUNO |
First Name Of The Provider |
RITSU |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1000 BOULDERS PKWY |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
RICHMOND |
Zip Code Of The Provider |
232255545 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
4834 |
Number Of Medicare Beneficiaries |
924 |
Total Submitted Charge Amount |
884239 |
Total Medicare Allowed Amount |
317237.9 |
Total Medicare Payment Amount |
243319.45 |
Total Medicare Standardized Payment Amount |
245229.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
2644 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
129938 |
Total Drug Medicare AllowedAmount |
70259.9 |
Total Drug Medicare PaymentAmount |
54967.56 |
Total Drug Medicare Standardized Payment Amount |
54967.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
2190 |
Number Of Medicare Beneficiaries With Medical Services |
924 |
Total Medical Submitted Charge Amount |
754301 |
Total Medical Medicare Allowed Amount |
246978 |
Total Medical Medicare Payment Amount |
188351.89 |
Total Medical Medicare Standardized Payment Amount |
190261.74 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
348 |
Number Of Beneficiaries Age 75 to 84 |
309 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
500 |
Number Of Male Beneficiaries |
424 |
Number Of Non Hispanic White Beneficiaries |
709 |
Number Of Black or African American Beneficiaries |
197 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
54 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.2614 |