National Provider Identifier [NPI]: |
1972613602 |
Last Name Of The Provider |
HUNN |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6030 MARSHALEE DR |
Street Address 2 Of The Provider |
SUITE #601 |
City Of The Provider |
ELKRIDGE |
Zip Code Of The Provider |
210755987 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
6161 |
Number Of Medicare Beneficiaries |
3556 |
Total Submitted Charge Amount |
1031733.53 |
Total Medicare Allowed Amount |
395023.41 |
Total Medicare Payment Amount |
322393.11 |
Total Medicare Standardized Payment Amount |
302920.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
86 |
Number Of Medicare Beneficiaries With Drug Services |
85 |
Total Drug Submitted ChargeAmount |
3246.5 |
Total Drug Medicare AllowedAmount |
93 |
Total Drug Medicare PaymentAmount |
72.28 |
Total Drug Medicare Standardized Payment Amount |
72.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
133 |
Number Of Medical Services |
6075 |
Number Of Medicare Beneficiaries With Medical Services |
3556 |
Total Medical Submitted Charge Amount |
1028487.03 |
Total Medical Medicare Allowed Amount |
394930.41 |
Total Medical Medicare Payment Amount |
322320.83 |
Total Medical Medicare Standardized Payment Amount |
302848.02 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
641 |
Number Of Beneficiaries Age 65 to 74 |
1282 |
Number Of Beneficiaries Age 75 to 84 |
992 |
Number Of Beneficiaries Age Greater 84 |
641 |
Number Of Female Beneficiaries |
2593 |
Number Of Male Beneficiaries |
963 |
Number Of Non Hispanic White Beneficiaries |
2096 |
Number Of Black or African American Beneficiaries |
1376 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2705 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
851 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6634 |