National Provider Identifier [NPI]: |
1740372762 |
Last Name Of The Provider |
UYTINGCO |
First Name Of The Provider |
RUFINO |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1145 GEER RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
TURLOCK |
Zip Code Of The Provider |
953803381 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
607 |
Number Of Medicare Beneficiaries |
170 |
Total Submitted Charge Amount |
72741 |
Total Medicare Allowed Amount |
56361.96 |
Total Medicare Payment Amount |
37874.91 |
Total Medicare Standardized Payment Amount |
36418.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
13 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
385 |
Total Drug Medicare AllowedAmount |
147.01 |
Total Drug Medicare PaymentAmount |
143.58 |
Total Drug Medicare Standardized Payment Amount |
143.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
14 |
Number Of Medical Services |
594 |
Number Of Medicare Beneficiaries With Medical Services |
170 |
Total Medical Submitted Charge Amount |
72356 |
Total Medical Medicare Allowed Amount |
56214.95 |
Total Medical Medicare Payment Amount |
37731.33 |
Total Medical Medicare Standardized Payment Amount |
36275.1 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
34 |
Number Of Beneficiaries Age Greater 84 |
19 |
Number Of Female Beneficiaries |
94 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
92 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
63 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
|
Percent Of With Depression |
14 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
43 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0943 |