National Provider Identifier [NPI]: |
1780676098 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1015 DELAWARE AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
MCCOMB |
Zip Code Of The Provider |
396483827 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
117 |
Number Of Services |
5395 |
Number Of Medicare Beneficiaries |
691 |
Total Submitted Charge Amount |
778999 |
Total Medicare Allowed Amount |
334285.19 |
Total Medicare Payment Amount |
247586.4 |
Total Medicare Standardized Payment Amount |
265441.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1764 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
96101.4 |
Total Drug Medicare AllowedAmount |
46644.37 |
Total Drug Medicare PaymentAmount |
36041.83 |
Total Drug Medicare Standardized Payment Amount |
36041.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
3631 |
Number Of Medicare Beneficiaries With Medical Services |
691 |
Total Medical Submitted Charge Amount |
682897.6 |
Total Medical Medicare Allowed Amount |
287640.82 |
Total Medical Medicare Payment Amount |
211544.57 |
Total Medical Medicare Standardized Payment Amount |
229399.26 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
162 |
Number Of Beneficiaries Age 65 to 74 |
270 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
245 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
|
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 |
386 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
305 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4965 |