National Provider Identifier [NPI]: |
1700108040 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3120 W CIRCLE PL |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPOKANE |
Zip Code Of The Provider |
992055854 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
42479 |
Number Of Medicare Beneficiaries |
3900 |
Total Submitted Charge Amount |
2611718.8 |
Total Medicare Allowed Amount |
658620.41 |
Total Medicare Payment Amount |
492143.04 |
Total Medicare Standardized Payment Amount |
474482.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
36500 |
Number Of Medicare Beneficiaries With Drug Services |
330 |
Total Drug Submitted ChargeAmount |
36880 |
Total Drug Medicare AllowedAmount |
7495.97 |
Total Drug Medicare PaymentAmount |
5807.19 |
Total Drug Medicare Standardized Payment Amount |
5807.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
158 |
Number Of Medical Services |
5979 |
Number Of Medicare Beneficiaries With Medical Services |
3900 |
Total Medical Submitted Charge Amount |
2574838.8 |
Total Medical Medicare Allowed Amount |
651124.44 |
Total Medical Medicare Payment Amount |
486335.85 |
Total Medical Medicare Standardized Payment Amount |
468675.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
884 |
Number Of Beneficiaries Age 65 to 74 |
1489 |
Number Of Beneficiaries Age 75 to 84 |
1032 |
Number Of Beneficiaries Age Greater 84 |
495 |
Number Of Female Beneficiaries |
2128 |
Number Of Male Beneficiaries |
1772 |
Number Of Non Hispanic White Beneficiaries |
3563 |
Number Of Black or African American Beneficiaries |
36 |
Number Of AsianPacific Islander Beneficiaries |
42 |
Number Of Hispanic Beneficiaries |
145 |
Number Of American Indian Alaska Native Beneficiaries |
81 |
Number Of Beneficiaries With Race Not Else where Classified |
33 |
Number Of Beneficiaries With Medicare Only Entitlement |
2628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1272 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4613 |