National Provider Identifier [NPI]: |
1487632659 |
Last Name Of The Provider |
TIRRITO |
First Name Of The Provider |
SALVATORE |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4729 E CAMP LOWELL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857121256 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
13864 |
Number Of Medicare Beneficiaries |
4944 |
Total Submitted Charge Amount |
2145075.27 |
Total Medicare Allowed Amount |
1008383.05 |
Total Medicare Payment Amount |
774196.7 |
Total Medicare Standardized Payment Amount |
782810.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1858 |
Number Of Medicare Beneficiaries With Drug Services |
465 |
Total Drug Submitted ChargeAmount |
189314 |
Total Drug Medicare AllowedAmount |
98308.68 |
Total Drug Medicare PaymentAmount |
76491.07 |
Total Drug Medicare Standardized Payment Amount |
76491.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
12006 |
Number Of Medicare Beneficiaries With Medical Services |
4944 |
Total Medical Submitted Charge Amount |
1955761.27 |
Total Medical Medicare Allowed Amount |
910074.37 |
Total Medical Medicare Payment Amount |
697705.63 |
Total Medical Medicare Standardized Payment Amount |
706319.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
495 |
Number Of Beneficiaries Age 65 to 74 |
1855 |
Number Of Beneficiaries Age 75 to 84 |
1678 |
Number Of Beneficiaries Age Greater 84 |
916 |
Number Of Female Beneficiaries |
2527 |
Number Of Male Beneficiaries |
2417 |
Number Of Non Hispanic White Beneficiaries |
4134 |
Number Of Black or African American Beneficiaries |
115 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
536 |
Number Of American Indian Alaska Native Beneficiaries |
44 |
Number Of Beneficiaries With Race Not Else where Classified |
64 |
Number Of Beneficiaries With Medicare Only Entitlement |
4175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
769 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5278 |