National Provider Identifier [NPI]: |
1952365918 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16 DELFAE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WARSAW |
Zip Code Of The Provider |
225724281 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
12517 |
Number Of Medicare Beneficiaries |
745 |
Total Submitted Charge Amount |
667334 |
Total Medicare Allowed Amount |
411933.4 |
Total Medicare Payment Amount |
322622.88 |
Total Medicare Standardized Payment Amount |
329153.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
595 |
Number Of Medicare Beneficiaries With Drug Services |
430 |
Total Drug Submitted ChargeAmount |
36249 |
Total Drug Medicare AllowedAmount |
28834.56 |
Total Drug Medicare PaymentAmount |
28209.05 |
Total Drug Medicare Standardized Payment Amount |
28209.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
11922 |
Number Of Medicare Beneficiaries With Medical Services |
745 |
Total Medical Submitted Charge Amount |
631085 |
Total Medical Medicare Allowed Amount |
383098.84 |
Total Medical Medicare Payment Amount |
294413.83 |
Total Medical Medicare Standardized Payment Amount |
300944.55 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
242 |
Number Of Beneficiaries Age Greater 84 |
105 |
Number Of Female Beneficiaries |
422 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
630 |
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 |
666 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0135 |