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 |