National Provider Identifier [NPI]: |
1962403824 |
Last Name Of The Provider |
STRUNK |
First Name Of The Provider |
JOHN |
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 |
412 DURANT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SOUTH HILL |
Zip Code Of The Provider |
239701614 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
6204 |
Number Of Medicare Beneficiaries |
920 |
Total Submitted Charge Amount |
1286455 |
Total Medicare Allowed Amount |
459731.82 |
Total Medicare Payment Amount |
333594.56 |
Total Medicare Standardized Payment Amount |
345490.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
375 |
Number Of Medicare Beneficiaries With Drug Services |
258 |
Total Drug Submitted ChargeAmount |
9342 |
Total Drug Medicare AllowedAmount |
6387.51 |
Total Drug Medicare PaymentAmount |
6107.73 |
Total Drug Medicare Standardized Payment Amount |
6107.73 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
5829 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
1277113 |
Total Medical Medicare Allowed Amount |
453344.31 |
Total Medical Medicare Payment Amount |
327486.83 |
Total Medical Medicare Standardized Payment Amount |
339382.94 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
166 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
297 |
Number Of Beneficiaries Age Greater 84 |
135 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
570 |
Number Of Black or African American Beneficiaries |
334 |
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 |
606 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
314 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8132 |