National Provider Identifier [NPI]: |
1598764003 |
Last Name Of The Provider |
NUNLEY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1680 S CENTRAL BLVD |
Street Address 2 Of The Provider |
SUITE 112 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334587395 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
7807 |
Number Of Medicare Beneficiaries |
1140 |
Total Submitted Charge Amount |
440089.1 |
Total Medicare Allowed Amount |
132424.39 |
Total Medicare Payment Amount |
98149.48 |
Total Medicare Standardized Payment Amount |
95214.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
6279 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
6272.1 |
Total Drug Medicare AllowedAmount |
1199.05 |
Total Drug Medicare PaymentAmount |
939.71 |
Total Drug Medicare Standardized Payment Amount |
939.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
1528 |
Number Of Medicare Beneficiaries With Medical Services |
1140 |
Total Medical Submitted Charge Amount |
433817 |
Total Medical Medicare Allowed Amount |
131225.34 |
Total Medical Medicare Payment Amount |
97209.77 |
Total Medical Medicare Standardized Payment Amount |
94274.99 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
206 |
Number Of Beneficiaries Age 65 to 74 |
510 |
Number Of Beneficiaries Age 75 to 84 |
291 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
664 |
Number Of Male Beneficiaries |
476 |
Number Of Non Hispanic White Beneficiaries |
673 |
Number Of Black or African American Beneficiaries |
202 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
240 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
743 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
397 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4404 |