National Provider Identifier [NPI]: |
1457340259 |
Last Name Of The Provider |
JUNCK |
First Name Of The Provider |
NEAL |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 E SOUTHERN AVE |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852045045 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
196 |
Number Of Services |
9731 |
Number Of Medicare Beneficiaries |
3669 |
Total Submitted Charge Amount |
1004195 |
Total Medicare Allowed Amount |
341142.78 |
Total Medicare Payment Amount |
274107.79 |
Total Medicare Standardized Payment Amount |
279082.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3904 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
7500 |
Total Drug Medicare AllowedAmount |
988.13 |
Total Drug Medicare PaymentAmount |
774.59 |
Total Drug Medicare Standardized Payment Amount |
774.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
194 |
Number Of Medical Services |
5827 |
Number Of Medicare Beneficiaries With Medical Services |
3669 |
Total Medical Submitted Charge Amount |
996695 |
Total Medical Medicare Allowed Amount |
340154.65 |
Total Medical Medicare Payment Amount |
273333.2 |
Total Medical Medicare Standardized Payment Amount |
278307.67 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
343 |
Number Of Beneficiaries Age 65 to 74 |
1604 |
Number Of Beneficiaries Age 75 to 84 |
1165 |
Number Of Beneficiaries Age Greater 84 |
557 |
Number Of Female Beneficiaries |
2478 |
Number Of Male Beneficiaries |
1191 |
Number Of Non Hispanic White Beneficiaries |
3211 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
47 |
Number Of Hispanic Beneficiaries |
183 |
Number Of American Indian Alaska Native Beneficiaries |
66 |
Number Of Beneficiaries With Race Not Else where Classified |
49 |
Number Of Beneficiaries With Medicare Only Entitlement |
3293 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
376 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5501 |