National Provider Identifier [NPI]: |
1801823497 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
TERENCE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
D.P.M. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8815 GERMANTOWN AVE |
Street Address 2 Of The Provider |
SUITE 11 |
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191182722 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
2739 |
Number Of Medicare Beneficiaries |
967 |
Total Submitted Charge Amount |
226625 |
Total Medicare Allowed Amount |
191768.45 |
Total Medicare Payment Amount |
135748.6 |
Total Medicare Standardized Payment Amount |
128215.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
28 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
280 |
Total Drug Medicare AllowedAmount |
3.76 |
Total Drug Medicare PaymentAmount |
2.68 |
Total Drug Medicare Standardized Payment Amount |
2.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2711 |
Number Of Medicare Beneficiaries With Medical Services |
967 |
Total Medical Submitted Charge Amount |
226345 |
Total Medical Medicare Allowed Amount |
191764.69 |
Total Medical Medicare Payment Amount |
135745.92 |
Total Medical Medicare Standardized Payment Amount |
128212.75 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
307 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
326 |
Number Of Non Hispanic White Beneficiaries |
629 |
Number Of Black or African American Beneficiaries |
317 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
851 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
116 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.444 |