National Provider Identifier [NPI]: |
1669472114 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
WAYNE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1726 S BROAD ST |
Street Address 2 Of The Provider |
STE 101 |
City Of The Provider |
PHILA |
Zip Code Of The Provider |
191452300 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
6083 |
Number Of Medicare Beneficiaries |
1339 |
Total Submitted Charge Amount |
1306721 |
Total Medicare Allowed Amount |
862834.46 |
Total Medicare Payment Amount |
646204.19 |
Total Medicare Standardized Payment Amount |
640335.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
706 |
Number Of Medicare Beneficiaries With Drug Services |
77 |
Total Drug Submitted ChargeAmount |
498500 |
Total Drug Medicare AllowedAmount |
382893.28 |
Total Drug Medicare PaymentAmount |
300114.48 |
Total Drug Medicare Standardized Payment Amount |
300114.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
5377 |
Number Of Medicare Beneficiaries With Medical Services |
1339 |
Total Medical Submitted Charge Amount |
808221 |
Total Medical Medicare Allowed Amount |
479941.18 |
Total Medical Medicare Payment Amount |
346089.71 |
Total Medical Medicare Standardized Payment Amount |
340220.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
119 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
440 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
818 |
Number Of Male Beneficiaries |
521 |
Number Of Non Hispanic White Beneficiaries |
961 |
Number Of Black or African American Beneficiaries |
290 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1142 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
197 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4212 |