National Provider Identifier [NPI]: |
1700881315 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
615 W MACPHAIL RD |
Street Address 2 Of The Provider |
STE 106 |
City Of The Provider |
BEL AIR |
Zip Code Of The Provider |
210144393 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
8903 |
Number Of Medicare Beneficiaries |
1456 |
Total Submitted Charge Amount |
715331 |
Total Medicare Allowed Amount |
448688.02 |
Total Medicare Payment Amount |
337838.58 |
Total Medicare Standardized Payment Amount |
321817.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
252 |
Number Of Medicare Beneficiaries With Drug Services |
217 |
Total Drug Submitted ChargeAmount |
9138 |
Total Drug Medicare AllowedAmount |
8974.76 |
Total Drug Medicare PaymentAmount |
8762.57 |
Total Drug Medicare Standardized Payment Amount |
8762.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
8651 |
Number Of Medicare Beneficiaries With Medical Services |
1456 |
Total Medical Submitted Charge Amount |
706193 |
Total Medical Medicare Allowed Amount |
439713.26 |
Total Medical Medicare Payment Amount |
329076.01 |
Total Medical Medicare Standardized Payment Amount |
313054.89 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
434 |
Number Of Beneficiaries Age 75 to 84 |
437 |
Number Of Beneficiaries Age Greater 84 |
513 |
Number Of Female Beneficiaries |
856 |
Number Of Male Beneficiaries |
600 |
Number Of Non Hispanic White Beneficiaries |
1408 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
13 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1306 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
150 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
35 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.4547 |