National Provider Identifier [NPI]: |
1700901212 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
321 N KUAKINI ST |
Street Address 2 Of The Provider |
ROOM 405 |
City Of The Provider |
HONOLULU |
Zip Code Of The Provider |
968172364 |
State Code Of The Provider |
HI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
118 |
Number Of Services |
3851 |
Number Of Medicare Beneficiaries |
2216 |
Total Submitted Charge Amount |
111640.27 |
Total Medicare Allowed Amount |
106362.49 |
Total Medicare Payment Amount |
81402.68 |
Total Medicare Standardized Payment Amount |
81413.41 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
118 |
Number Of Medical Services |
3851 |
Number Of Medicare Beneficiaries With Medical Services |
2216 |
Total Medical Submitted Charge Amount |
111640.27 |
Total Medical Medicare Allowed Amount |
106362.49 |
Total Medical Medicare Payment Amount |
81402.68 |
Total Medical Medicare Standardized Payment Amount |
81413.41 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
929 |
Number Of Beneficiaries Age 75 to 84 |
690 |
Number Of Beneficiaries Age Greater 84 |
401 |
Number Of Female Beneficiaries |
1583 |
Number Of Male Beneficiaries |
633 |
Number Of Non Hispanic White Beneficiaries |
282 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
1471 |
Number Of Hispanic Beneficiaries |
135 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
310 |
Number Of Beneficiaries With Medicare Only Entitlement |
1964 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
252 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4392 |