National Provider Identifier [NPI]: |
1740250307 |
Last Name Of The Provider |
RUNZ |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
505 DUTCHMANS LN |
Street Address 2 Of The Provider |
BUILDING A |
City Of The Provider |
EASTON |
Zip Code Of The Provider |
216014302 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
4917 |
Number Of Medicare Beneficiaries |
1021 |
Total Submitted Charge Amount |
752875.8 |
Total Medicare Allowed Amount |
376255.27 |
Total Medicare Payment Amount |
283796.59 |
Total Medicare Standardized Payment Amount |
280145.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
905 |
Number Of Medicare Beneficiaries With Drug Services |
71 |
Total Drug Submitted ChargeAmount |
103240 |
Total Drug Medicare AllowedAmount |
65702.43 |
Total Drug Medicare PaymentAmount |
50302.46 |
Total Drug Medicare Standardized Payment Amount |
50302.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
4012 |
Number Of Medicare Beneficiaries With Medical Services |
1021 |
Total Medical Submitted Charge Amount |
649635.8 |
Total Medical Medicare Allowed Amount |
310552.84 |
Total Medical Medicare Payment Amount |
233494.13 |
Total Medical Medicare Standardized Payment Amount |
229842.67 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
470 |
Number Of Beneficiaries Age 75 to 84 |
326 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
801 |
Number Of Non Hispanic White Beneficiaries |
859 |
Number Of Black or African American Beneficiaries |
135 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
875 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
146 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2279 |