National Provider Identifier [NPI]: |
1164604831 |
Last Name Of The Provider |
DUNNING |
First Name Of The Provider |
MALESHEA |
Middle Initial Of The Provider |
Y |
Credentials Of The Provider |
DO |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
184 S MAYO TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
PIKEVILLE |
Zip Code Of The Provider |
415011518 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
1231 |
Number Of Medicare Beneficiaries |
495 |
Total Submitted Charge Amount |
101313.51 |
Total Medicare Allowed Amount |
74440.42 |
Total Medicare Payment Amount |
50763.89 |
Total Medicare Standardized Payment Amount |
55599.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
178 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
5183.51 |
Total Drug Medicare AllowedAmount |
3215.59 |
Total Drug Medicare PaymentAmount |
3131.53 |
Total Drug Medicare Standardized Payment Amount |
3131.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
1053 |
Number Of Medicare Beneficiaries With Medical Services |
494 |
Total Medical Submitted Charge Amount |
96130 |
Total Medical Medicare Allowed Amount |
71224.83 |
Total Medical Medicare Payment Amount |
47632.36 |
Total Medical Medicare Standardized Payment Amount |
52467.73 |
Average Age Of Beneficiaries |
61 |
Number Of Beneficiaries Age Less65 |
270 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
57 |
Number Of Beneficiaries Age Greater 84 |
13 |
Number Of Female Beneficiaries |
261 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
483 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3235 |