National Provider Identifier [NPI]: |
1144279464 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1800 BARRS ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322044704 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
249 |
Number Of Services |
6890 |
Number Of Medicare Beneficiaries |
4165 |
Total Submitted Charge Amount |
1516875 |
Total Medicare Allowed Amount |
224647.14 |
Total Medicare Payment Amount |
173494.66 |
Total Medicare Standardized Payment Amount |
173274.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
249 |
Number Of Medical Services |
6890 |
Number Of Medicare Beneficiaries With Medical Services |
4165 |
Total Medical Submitted Charge Amount |
1516875 |
Total Medical Medicare Allowed Amount |
224647.14 |
Total Medical Medicare Payment Amount |
173494.66 |
Total Medical Medicare Standardized Payment Amount |
173274.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
731 |
Number Of Beneficiaries Age 65 to 74 |
1576 |
Number Of Beneficiaries Age 75 to 84 |
1227 |
Number Of Beneficiaries Age Greater 84 |
631 |
Number Of Female Beneficiaries |
2640 |
Number Of Male Beneficiaries |
1525 |
Number Of Non Hispanic White Beneficiaries |
3185 |
Number Of Black or African American Beneficiaries |
771 |
Number Of AsianPacific Islander Beneficiaries |
51 |
Number Of Hispanic Beneficiaries |
117 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
3133 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1032 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.9199 |