National Provider Identifier [NPI]: |
1366531071 |
Last Name Of The Provider |
KUENTZ |
First Name Of The Provider |
DUANE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
270 E STATE ST STE 240 |
Street Address 2 Of The Provider |
|
City Of The Provider |
ALLIANCE |
Zip Code Of The Provider |
446014369 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
75 |
Number Of Services |
2958.5 |
Number Of Medicare Beneficiaries |
1198 |
Total Submitted Charge Amount |
191484 |
Total Medicare Allowed Amount |
127149.6 |
Total Medicare Payment Amount |
90994.98 |
Total Medicare Standardized Payment Amount |
96334.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
107.5 |
Number Of Medicare Beneficiaries With Drug Services |
60 |
Total Drug Submitted ChargeAmount |
2491 |
Total Drug Medicare AllowedAmount |
1505.81 |
Total Drug Medicare PaymentAmount |
1444.32 |
Total Drug Medicare Standardized Payment Amount |
1444.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
2851 |
Number Of Medicare Beneficiaries With Medical Services |
1198 |
Total Medical Submitted Charge Amount |
188993 |
Total Medical Medicare Allowed Amount |
125643.79 |
Total Medical Medicare Payment Amount |
89550.66 |
Total Medical Medicare Standardized Payment Amount |
94889.7 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
397 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
240 |
Number Of Female Beneficiaries |
618 |
Number Of Male Beneficiaries |
580 |
Number Of Non Hispanic White Beneficiaries |
1089 |
Number Of Black or African American Beneficiaries |
85 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
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 |
844 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
354 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7805 |