National Provider Identifier [NPI]: |
1154347276 |
Last Name Of The Provider |
SCHUNK |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 PALOMINO LN |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891064894 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
212 |
Number Of Services |
7742 |
Number Of Medicare Beneficiaries |
3167 |
Total Submitted Charge Amount |
688440.91 |
Total Medicare Allowed Amount |
171854.75 |
Total Medicare Payment Amount |
131181.75 |
Total Medicare Standardized Payment Amount |
129349.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2971 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
8942.51 |
Total Drug Medicare AllowedAmount |
592.93 |
Total Drug Medicare PaymentAmount |
464.82 |
Total Drug Medicare Standardized Payment Amount |
464.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
210 |
Number Of Medical Services |
4771 |
Number Of Medicare Beneficiaries With Medical Services |
3167 |
Total Medical Submitted Charge Amount |
679498.4 |
Total Medical Medicare Allowed Amount |
171261.82 |
Total Medical Medicare Payment Amount |
130716.93 |
Total Medical Medicare Standardized Payment Amount |
128884.7 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
603 |
Number Of Beneficiaries Age 65 to 74 |
1205 |
Number Of Beneficiaries Age 75 to 84 |
879 |
Number Of Beneficiaries Age Greater 84 |
480 |
Number Of Female Beneficiaries |
1687 |
Number Of Male Beneficiaries |
1480 |
Number Of Non Hispanic White Beneficiaries |
2194 |
Number Of Black or African American Beneficiaries |
468 |
Number Of AsianPacific Islander Beneficiaries |
146 |
Number Of Hispanic Beneficiaries |
278 |
Number Of American Indian Alaska Native Beneficiaries |
14 |
Number Of Beneficiaries With Race Not Else where Classified |
67 |
Number Of Beneficiaries With Medicare Only Entitlement |
2311 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
856 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
2.2439 |