National Provider Identifier [NPI]: |
1487765301 |
Last Name Of The Provider |
GUNNELL |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
435 ARDEN AVE STE 520 |
Street Address 2 Of The Provider |
|
City Of The Provider |
GLENDALE |
Zip Code Of The Provider |
912031138 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
45080 |
Number Of Medicare Beneficiaries |
534 |
Total Submitted Charge Amount |
1181053.02 |
Total Medicare Allowed Amount |
589830.87 |
Total Medicare Payment Amount |
453059.24 |
Total Medicare Standardized Payment Amount |
433921.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
39 |
Number Of Drug Services |
38443 |
Number Of Medicare Beneficiaries With Drug Services |
124 |
Total Drug Submitted ChargeAmount |
423505.02 |
Total Drug Medicare AllowedAmount |
218463.05 |
Total Drug Medicare PaymentAmount |
170779.24 |
Total Drug Medicare Standardized Payment Amount |
170779.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
6637 |
Number Of Medicare Beneficiaries With Medical Services |
534 |
Total Medical Submitted Charge Amount |
757548 |
Total Medical Medicare Allowed Amount |
371367.82 |
Total Medical Medicare Payment Amount |
282280 |
Total Medical Medicare Standardized Payment Amount |
263142.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
161 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
229 |
Number Of Non Hispanic White Beneficiaries |
310 |
Number Of Black or African American Beneficiaries |
34 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
119 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
253 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.4654 |