National Provider Identifier [NPI]: |
1265471973 |
Last Name Of The Provider |
JUNG |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
150 S MOUNT AUBURN RD |
Street Address 2 Of The Provider |
STE. 432 |
City Of The Provider |
CAPE GIRARDEAU |
Zip Code Of The Provider |
637034910 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
101 |
Number Of Services |
9699 |
Number Of Medicare Beneficiaries |
448 |
Total Submitted Charge Amount |
701389 |
Total Medicare Allowed Amount |
233559.96 |
Total Medicare Payment Amount |
173190.54 |
Total Medicare Standardized Payment Amount |
172031.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
51 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
1470 |
Total Drug Medicare AllowedAmount |
797.89 |
Total Drug Medicare PaymentAmount |
781.75 |
Total Drug Medicare Standardized Payment Amount |
781.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
9648 |
Number Of Medicare Beneficiaries With Medical Services |
448 |
Total Medical Submitted Charge Amount |
699919 |
Total Medical Medicare Allowed Amount |
232762.07 |
Total Medical Medicare Payment Amount |
172408.79 |
Total Medical Medicare Standardized Payment Amount |
171250.09 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
150 |
Number Of Beneficiaries Age 65 to 74 |
157 |
Number Of Beneficiaries Age 75 to 84 |
111 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
273 |
Number Of Male Beneficiaries |
175 |
Number Of Non Hispanic White Beneficiaries |
420 |
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 |
284 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
164 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2133 |