National Provider Identifier [NPI]: |
1679641997 |
Last Name Of The Provider |
BONDHUS |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3604 CENTRAL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOT SPRINGS |
Zip Code Of The Provider |
719136403 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
3394 |
Number Of Medicare Beneficiaries |
943 |
Total Submitted Charge Amount |
150944 |
Total Medicare Allowed Amount |
79323.57 |
Total Medicare Payment Amount |
49363.55 |
Total Medicare Standardized Payment Amount |
67562.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1709 |
Number Of Medicare Beneficiaries With Drug Services |
254 |
Total Drug Submitted ChargeAmount |
4327 |
Total Drug Medicare AllowedAmount |
612.59 |
Total Drug Medicare PaymentAmount |
441.07 |
Total Drug Medicare Standardized Payment Amount |
441.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
1685 |
Number Of Medicare Beneficiaries With Medical Services |
942 |
Total Medical Submitted Charge Amount |
146617 |
Total Medical Medicare Allowed Amount |
78710.98 |
Total Medical Medicare Payment Amount |
48922.48 |
Total Medical Medicare Standardized Payment Amount |
67121.8 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
397 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
580 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
905 |
Number Of Black or African American Beneficiaries |
23 |
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 |
830 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
113 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0178 |