Medicare Facts for Dr. James D. Duncan, MD


National Provider Identifier [NPI]: 1598725020
Last Name Of The Provider DUNCAN
First Name Of The Provider JAMES
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 478 WHIRLAWAY DR
Street Address 2 Of The Provider STE 100
City Of The Provider DANVILLE
Zip Code Of The Provider 404229037
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 71
Number Of Services 3397
Number Of Medicare Beneficiaries 1077
Total Submitted Charge Amount 316202.2
Total Medicare Allowed Amount 172850.34
Total Medicare Payment Amount 126216.88
Total Medicare Standardized Payment Amount 136116.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 10
Number Of Drug Services 400
Number Of Medicare Beneficiaries With Drug Services 182
Total Drug Submitted ChargeAmount 17073.2
Total Drug Medicare AllowedAmount 8284.33
Total Drug Medicare PaymentAmount 7977.11
Total Drug Medicare Standardized Payment Amount 7977.11
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 61
Number Of Medical Services 2997
Number Of Medicare Beneficiaries With Medical Services 1077
Total Medical Submitted Charge Amount 299129
Total Medical Medicare Allowed Amount 164566.01
Total Medical Medicare Payment Amount 118239.77
Total Medical Medicare Standardized Payment Amount 128139.09
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 171
Number Of Beneficiaries Age 65 to 74 373
Number Of Beneficiaries Age 75 to 84 333
Number Of Beneficiaries Age Greater 84 200
Number Of Female Beneficiaries 610
Number Of Male Beneficiaries 467
Number Of Non Hispanic White Beneficiaries 1035
Number Of Black or African American Beneficiaries 29
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
Number Of Beneficiaries With Medicare Only Entitlement 770
Number Of Beneficiaries With Medicare Medicaid Entitlement 307
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 21
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 25
Percent Of With Depression 26
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 44
Percent Of With Osteoporosis 6
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 10
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.4325

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