National Provider Identifier [NPI]: |
1225003981 |
Last Name Of The Provider |
DUNNE |
First Name Of The Provider |
MORGAN |
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 |
311 CAMDEN ST |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782152012 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
173 |
Number Of Services |
19479 |
Number Of Medicare Beneficiaries |
2912 |
Total Submitted Charge Amount |
750852.37 |
Total Medicare Allowed Amount |
235322.98 |
Total Medicare Payment Amount |
173359.73 |
Total Medicare Standardized Payment Amount |
189153.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
15284 |
Number Of Medicare Beneficiaries With Drug Services |
171 |
Total Drug Submitted ChargeAmount |
15825.26 |
Total Drug Medicare AllowedAmount |
3585.34 |
Total Drug Medicare PaymentAmount |
2458.21 |
Total Drug Medicare Standardized Payment Amount |
2458.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
4195 |
Number Of Medicare Beneficiaries With Medical Services |
2912 |
Total Medical Submitted Charge Amount |
735027.11 |
Total Medical Medicare Allowed Amount |
231737.64 |
Total Medical Medicare Payment Amount |
170901.52 |
Total Medical Medicare Standardized Payment Amount |
186695.37 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
610 |
Number Of Beneficiaries Age 65 to 74 |
1078 |
Number Of Beneficiaries Age 75 to 84 |
783 |
Number Of Beneficiaries Age Greater 84 |
441 |
Number Of Female Beneficiaries |
1714 |
Number Of Male Beneficiaries |
1198 |
Number Of Non Hispanic White Beneficiaries |
1429 |
Number Of Black or African American Beneficiaries |
305 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
1124 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
29 |
Number Of Beneficiaries With Medicare Only Entitlement |
1991 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
921 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.1038 |