National Provider Identifier [NPI]: |
1700844966 |
Last Name Of The Provider |
MUNZING |
First Name Of The Provider |
DANIEL |
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 |
1111 BAKER AVE |
Street Address 2 Of The Provider |
GLACIER MEDICAL ASSOCIATES |
City Of The Provider |
WHITEFISH |
Zip Code Of The Provider |
599372901 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
143 |
Number Of Services |
3909 |
Number Of Medicare Beneficiaries |
326 |
Total Submitted Charge Amount |
306813.76 |
Total Medicare Allowed Amount |
166802.08 |
Total Medicare Payment Amount |
126030.91 |
Total Medicare Standardized Payment Amount |
125696.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
393 |
Number Of Medicare Beneficiaries With Drug Services |
111 |
Total Drug Submitted ChargeAmount |
8092.06 |
Total Drug Medicare AllowedAmount |
5581.31 |
Total Drug Medicare PaymentAmount |
5239.23 |
Total Drug Medicare Standardized Payment Amount |
5239.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
129 |
Number Of Medical Services |
3516 |
Number Of Medicare Beneficiaries With Medical Services |
325 |
Total Medical Submitted Charge Amount |
298721.7 |
Total Medical Medicare Allowed Amount |
161220.77 |
Total Medical Medicare Payment Amount |
120791.68 |
Total Medical Medicare Standardized Payment Amount |
120457.32 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
131 |
Number Of Male Beneficiaries |
195 |
Number Of Non Hispanic White Beneficiaries |
306 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
0 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7811 |