National Provider Identifier [NPI]: |
1407809544 |
Last Name Of The Provider |
DUNKER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2521 GLENN HENDREN DR |
Street Address 2 Of The Provider |
SUITE 306 |
City Of The Provider |
LIBERTY |
Zip Code Of The Provider |
640683388 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
3827 |
Number Of Medicare Beneficiaries |
1385 |
Total Submitted Charge Amount |
481806 |
Total Medicare Allowed Amount |
241150.65 |
Total Medicare Payment Amount |
180191.84 |
Total Medicare Standardized Payment Amount |
185280.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
15 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
1635 |
Total Drug Medicare AllowedAmount |
638.19 |
Total Drug Medicare PaymentAmount |
500.35 |
Total Drug Medicare Standardized Payment Amount |
500.35 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
3812 |
Number Of Medicare Beneficiaries With Medical Services |
1385 |
Total Medical Submitted Charge Amount |
480171 |
Total Medical Medicare Allowed Amount |
240512.46 |
Total Medical Medicare Payment Amount |
179691.49 |
Total Medical Medicare Standardized Payment Amount |
184780.14 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
226 |
Number Of Beneficiaries Age 65 to 74 |
464 |
Number Of Beneficiaries Age 75 to 84 |
425 |
Number Of Beneficiaries Age Greater 84 |
270 |
Number Of Female Beneficiaries |
803 |
Number Of Male Beneficiaries |
582 |
Number Of Non Hispanic White Beneficiaries |
1310 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
235 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5677 |