National Provider Identifier [NPI]: |
1023125796 |
Last Name Of The Provider |
HUNTER |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
208 N 12TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLEVUE |
Zip Code Of The Provider |
520311931 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
7295 |
Number Of Medicare Beneficiaries |
409 |
Total Submitted Charge Amount |
436775.66 |
Total Medicare Allowed Amount |
195819.83 |
Total Medicare Payment Amount |
143533.89 |
Total Medicare Standardized Payment Amount |
153675.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1236 |
Number Of Medicare Beneficiaries With Drug Services |
186 |
Total Drug Submitted ChargeAmount |
15864 |
Total Drug Medicare AllowedAmount |
11137.66 |
Total Drug Medicare PaymentAmount |
9808.28 |
Total Drug Medicare Standardized Payment Amount |
9808.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
155 |
Number Of Medical Services |
6059 |
Number Of Medicare Beneficiaries With Medical Services |
409 |
Total Medical Submitted Charge Amount |
420911.66 |
Total Medical Medicare Allowed Amount |
184682.17 |
Total Medical Medicare Payment Amount |
133725.61 |
Total Medical Medicare Standardized Payment Amount |
143867.46 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
147 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
335 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0423 |