National Provider Identifier [NPI]: |
1134210727 |
Last Name Of The Provider |
KUNTZE |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1310 LAS TABLAS RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
TEMPLETON |
Zip Code Of The Provider |
934659737 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
26867 |
Number Of Medicare Beneficiaries |
1630 |
Total Submitted Charge Amount |
1516252.8 |
Total Medicare Allowed Amount |
943695.5 |
Total Medicare Payment Amount |
714494.2 |
Total Medicare Standardized Payment Amount |
703570.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
18187 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
554392.8 |
Total Drug Medicare AllowedAmount |
338145.06 |
Total Drug Medicare PaymentAmount |
264416.95 |
Total Drug Medicare Standardized Payment Amount |
264416.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
8680 |
Number Of Medicare Beneficiaries With Medical Services |
1630 |
Total Medical Submitted Charge Amount |
961860 |
Total Medical Medicare Allowed Amount |
605550.44 |
Total Medical Medicare Payment Amount |
450077.25 |
Total Medical Medicare Standardized Payment Amount |
439153.06 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
679 |
Number Of Beneficiaries Age 75 to 84 |
542 |
Number Of Beneficiaries Age Greater 84 |
302 |
Number Of Female Beneficiaries |
309 |
Number Of Male Beneficiaries |
1321 |
Number Of Non Hispanic White Beneficiaries |
1461 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
118 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1495 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
135 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0959 |