National Provider Identifier [NPI]: |
1972535508 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
ELLEN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18707 HARDY OAK BLVD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782584791 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Anesthesiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
112 |
Number Of Services |
22641 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
4143462 |
Total Medicare Allowed Amount |
1090667.69 |
Total Medicare Payment Amount |
859859.96 |
Total Medicare Standardized Payment Amount |
839705.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
10792 |
Number Of Medicare Beneficiaries With Drug Services |
475 |
Total Drug Submitted ChargeAmount |
91424 |
Total Drug Medicare AllowedAmount |
9165.06 |
Total Drug Medicare PaymentAmount |
7029.24 |
Total Drug Medicare Standardized Payment Amount |
7029.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
98 |
Number Of Medical Services |
11849 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
4052038 |
Total Medical Medicare Allowed Amount |
1081502.63 |
Total Medical Medicare Payment Amount |
852830.72 |
Total Medical Medicare Standardized Payment Amount |
832676.02 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
158 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
202 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
466 |
Number Of Male Beneficiaries |
284 |
Number Of Non Hispanic White Beneficiaries |
563 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
143 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
658 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
92 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3535 |