National Provider Identifier [NPI]: |
1265455547 |
Last Name Of The Provider |
HUNT |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
225 CLARKSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ELLISVILLE |
Zip Code Of The Provider |
630112278 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
1574 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
80532 |
Total Medicare Allowed Amount |
63346.38 |
Total Medicare Payment Amount |
43336.53 |
Total Medicare Standardized Payment Amount |
43567.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
838 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
8595 |
Total Drug Medicare AllowedAmount |
4186.79 |
Total Drug Medicare PaymentAmount |
3274.58 |
Total Drug Medicare Standardized Payment Amount |
3274.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
736 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
71937 |
Total Medical Medicare Allowed Amount |
59159.59 |
Total Medical Medicare Payment Amount |
40061.95 |
Total Medical Medicare Standardized Payment Amount |
40293.1 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
63 |
Number Of Non Hispanic White Beneficiaries |
218 |
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 |
221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
37 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.3968 |