National Provider Identifier [NPI]: |
1215116975 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
DAVID |
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 |
2413 PALMER CIR |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORMAN |
Zip Code Of The Provider |
730696301 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
14478 |
Number Of Medicare Beneficiaries |
2000 |
Total Submitted Charge Amount |
551354.59 |
Total Medicare Allowed Amount |
508982.9 |
Total Medicare Payment Amount |
346207.75 |
Total Medicare Standardized Payment Amount |
377469.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
14478 |
Number Of Medicare Beneficiaries With Medical Services |
2000 |
Total Medical Submitted Charge Amount |
551354.59 |
Total Medical Medicare Allowed Amount |
508982.9 |
Total Medical Medicare Payment Amount |
346207.75 |
Total Medical Medicare Standardized Payment Amount |
377469.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
898 |
Number Of Beneficiaries Age 75 to 84 |
800 |
Number Of Beneficiaries Age Greater 84 |
239 |
Number Of Female Beneficiaries |
986 |
Number Of Male Beneficiaries |
1014 |
Number Of Non Hispanic White Beneficiaries |
1936 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
39 |
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1956 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
44 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.92 |