National Provider Identifier [NPI]: |
1275518797 |
Last Name Of The Provider |
YUNDT |
First Name Of The Provider |
KENT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2275 NE DOCTORS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEND |
Zip Code Of The Provider |
977016324 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
2129 |
Number Of Medicare Beneficiaries |
581 |
Total Submitted Charge Amount |
1443822.25 |
Total Medicare Allowed Amount |
423224.51 |
Total Medicare Payment Amount |
323061.49 |
Total Medicare Standardized Payment Amount |
333572.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
234 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
4018.91 |
Total Drug Medicare AllowedAmount |
422.62 |
Total Drug Medicare PaymentAmount |
321.5 |
Total Drug Medicare Standardized Payment Amount |
321.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
1895 |
Number Of Medicare Beneficiaries With Medical Services |
581 |
Total Medical Submitted Charge Amount |
1439803.34 |
Total Medical Medicare Allowed Amount |
422801.89 |
Total Medical Medicare Payment Amount |
322739.99 |
Total Medical Medicare Standardized Payment Amount |
333251.32 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
103 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
304 |
Number Of Male Beneficiaries |
277 |
Number Of Non Hispanic White Beneficiaries |
545 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
498 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.0089 |