Medicare Facts for Douglas J. Duncan, LPC


National Provider Identifier [NPI]: 1548267156
Last Name Of The Provider DUNCAN
First Name Of The Provider DOUGLAS
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 815 S WASHINGTON AVE
Street Address 2 Of The Provider SUITE 202
City Of The Provider MARSHALL
Zip Code Of The Provider 756705369
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 102
Number Of Services 1402
Number Of Medicare Beneficiaries 388
Total Submitted Charge Amount 653860.81
Total Medicare Allowed Amount 186815.86
Total Medicare Payment Amount 140151.06
Total Medicare Standardized Payment Amount 144280.21
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 4
Number Of Drug Services 232
Number Of Medicare Beneficiaries With Drug Services 120
Total Drug Submitted ChargeAmount 61266
Total Drug Medicare AllowedAmount 26302.27
Total Drug Medicare PaymentAmount 20587.26
Total Drug Medicare Standardized Payment Amount 20587.26
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 98
Number Of Medical Services 1170
Number Of Medicare Beneficiaries With Medical Services 388
Total Medical Submitted Charge Amount 592594.81
Total Medical Medicare Allowed Amount 160513.59
Total Medical Medicare Payment Amount 119563.8
Total Medical Medicare Standardized Payment Amount 123692.95
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 59
Number Of Beneficiaries Age 65 to 74 157
Number Of Beneficiaries Age 75 to 84 123
Number Of Beneficiaries Age Greater 84 49
Number Of Female Beneficiaries 273
Number Of Male Beneficiaries 115
Number Of Non Hispanic White Beneficiaries 300
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 300
Number Of Beneficiaries With Medicare Medicaid Entitlement 88
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma 8
Percent Of With Cancer 9
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 25
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 33
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 70
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.3329

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