| National Provider Identifier [NPI]: | 1215911821 |
| Last Name Of The Provider | HUNEK |
| First Name Of The Provider | JEFFREY |
| Middle Initial Of The Provider | R |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1617 TAMIAMI TRL |
| Street Address 2 Of The Provider | STE A |
| City Of The Provider | PORT CHARLOTTE |
| Zip Code Of The Provider | 339481040 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Dermatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 79 |
| Number Of Services | 17361 |
| Number Of Medicare Beneficiaries | 2788 |
| Total Submitted Charge Amount | 925336.14 |
| Total Medicare Allowed Amount | 856892.18 |
| Total Medicare Payment Amount | 617228.73 |
| Total Medicare Standardized Payment Amount | 612772.36 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 24 |
| Number Of Medicare Beneficiaries With Drug Services | 24 |
| Total Drug Submitted ChargeAmount | 5944.4 |
| Total Drug Medicare AllowedAmount | 5930.8 |
| Total Drug Medicare PaymentAmount | 4558.39 |
| Total Drug Medicare Standardized Payment Amount | 4558.39 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 78 |
| Number Of Medical Services | 17337 |
| Number Of Medicare Beneficiaries With Medical Services | 2788 |
| Total Medical Submitted Charge Amount | 919391.74 |
| Total Medical Medicare Allowed Amount | 850961.38 |
| Total Medical Medicare Payment Amount | 612670.34 |
| Total Medical Medicare Standardized Payment Amount | 608213.97 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 61 |
| Number Of Beneficiaries Age 65 to 74 | 1349 |
| Number Of Beneficiaries Age 75 to 84 | 1059 |
| Number Of Beneficiaries Age Greater 84 | 319 |
| Number Of Female Beneficiaries | 1221 |
| Number Of Male Beneficiaries | 1567 |
| Number Of Non Hispanic White Beneficiaries | 2703 |
| Number Of Black or African American Beneficiaries | |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 30 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 34 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2747 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 41 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 6 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 13 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 27 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 69 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 3 |
| Average HCC Risk Score Of Beneficiaries | 1.0693 |