National Provider Identifier [NPI]: |
1073522892 |
Last Name Of The Provider |
BATTINO |
First Name Of The Provider |
GILLIAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 HIGHLAND AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MADISON |
Zip Code Of The Provider |
537920001 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2315 |
Number Of Medicare Beneficiaries |
787 |
Total Submitted Charge Amount |
380452.8 |
Total Medicare Allowed Amount |
78096.06 |
Total Medicare Payment Amount |
68225.12 |
Total Medicare Standardized Payment Amount |
71041 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
801 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
998.2 |
Total Drug Medicare AllowedAmount |
257.42 |
Total Drug Medicare PaymentAmount |
201.81 |
Total Drug Medicare Standardized Payment Amount |
201.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1514 |
Number Of Medicare Beneficiaries With Medical Services |
785 |
Total Medical Submitted Charge Amount |
379454.6 |
Total Medical Medicare Allowed Amount |
77838.64 |
Total Medical Medicare Payment Amount |
68023.31 |
Total Medical Medicare Standardized Payment Amount |
70839.19 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
98 |
Number Of Beneficiaries Age 65 to 74 |
482 |
Number Of Beneficiaries Age 75 to 84 |
175 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
745 |
Number Of Male Beneficiaries |
42 |
Number Of Non Hispanic White Beneficiaries |
741 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
680 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
107 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
3 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
49 |
Percent Of With Ischemic Heart Disease |
16 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.8015 |