National Provider Identifier [NPI]: |
1184614950 |
Last Name Of The Provider |
DUFF |
First Name Of The Provider |
DANA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
PA-C |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
301 21ST AVE N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372031821 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
5854 |
Number Of Medicare Beneficiaries |
823 |
Total Submitted Charge Amount |
586708 |
Total Medicare Allowed Amount |
141132.67 |
Total Medicare Payment Amount |
101625.62 |
Total Medicare Standardized Payment Amount |
123259.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3546 |
Number Of Medicare Beneficiaries With Drug Services |
454 |
Total Drug Submitted ChargeAmount |
139156 |
Total Drug Medicare AllowedAmount |
39183.9 |
Total Drug Medicare PaymentAmount |
30272.55 |
Total Drug Medicare Standardized Payment Amount |
30272.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
80 |
Number Of Medical Services |
2308 |
Number Of Medicare Beneficiaries With Medical Services |
823 |
Total Medical Submitted Charge Amount |
447552 |
Total Medical Medicare Allowed Amount |
101948.77 |
Total Medical Medicare Payment Amount |
71353.07 |
Total Medical Medicare Standardized Payment Amount |
92987.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
433 |
Number Of Beneficiaries Age 75 to 84 |
195 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
556 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
722 |
Number Of Black or African American Beneficiaries |
83 |
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 |
749 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
69 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0388 |