National Provider Identifier [NPI]: |
1588647630 |
Last Name Of The Provider |
HUNT |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
13241 BARTRAM PARK BLVD |
Street Address 2 Of The Provider |
SUITE 1101 |
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322585212 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
38665 |
Number Of Medicare Beneficiaries |
340 |
Total Submitted Charge Amount |
2635744 |
Total Medicare Allowed Amount |
1285847.94 |
Total Medicare Payment Amount |
1149545.35 |
Total Medicare Standardized Payment Amount |
967413.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2420 |
Number Of Medicare Beneficiaries With Drug Services |
118 |
Total Drug Submitted ChargeAmount |
58854 |
Total Drug Medicare AllowedAmount |
14054.23 |
Total Drug Medicare PaymentAmount |
10963.45 |
Total Drug Medicare Standardized Payment Amount |
10963.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
82 |
Number Of Medical Services |
36245 |
Number Of Medicare Beneficiaries With Medical Services |
340 |
Total Medical Submitted Charge Amount |
2576890 |
Total Medical Medicare Allowed Amount |
1271793.71 |
Total Medical Medicare Payment Amount |
1138581.9 |
Total Medical Medicare Standardized Payment Amount |
956449.94 |
Average Age Of Beneficiaries |
58 |
Number Of Beneficiaries Age Less65 |
222 |
Number Of Beneficiaries Age 65 to 74 |
83 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
190 |
Number Of Male Beneficiaries |
150 |
Number Of Non Hispanic White Beneficiaries |
276 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
193 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6249 |