National Provider Identifier [NPI]: |
1407053580 |
Last Name Of The Provider |
DUNDEE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 S MAPLE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
WACONIA |
Zip Code Of The Provider |
553871752 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
847 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
90771.7 |
Total Medicare Allowed Amount |
28685.39 |
Total Medicare Payment Amount |
21303.76 |
Total Medicare Standardized Payment Amount |
22099.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
558 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
1528.7 |
Total Drug Medicare AllowedAmount |
174.3 |
Total Drug Medicare PaymentAmount |
136.65 |
Total Drug Medicare Standardized Payment Amount |
136.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
289 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
89243 |
Total Medical Medicare Allowed Amount |
28511.09 |
Total Medical Medicare Payment Amount |
21167.11 |
Total Medical Medicare Standardized Payment Amount |
21963.24 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
31 |
Number Of Beneficiaries Age 75 to 84 |
50 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
121 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
194 |
Number Of Black or African American Beneficiaries |
|
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
135 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
70 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
19 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4798 |