National Provider Identifier [NPI]: |
1447205752 |
Last Name Of The Provider |
LUNDY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
700 W FOREST AVE |
Street Address 2 Of The Provider |
STE 300 |
City Of The Provider |
JACKSON |
Zip Code Of The Provider |
383013937 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
8426 |
Number Of Medicare Beneficiaries |
3622 |
Total Submitted Charge Amount |
632244.5 |
Total Medicare Allowed Amount |
251320.09 |
Total Medicare Payment Amount |
201268.37 |
Total Medicare Standardized Payment Amount |
224122.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3400 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
7558.5 |
Total Drug Medicare AllowedAmount |
785.13 |
Total Drug Medicare PaymentAmount |
603 |
Total Drug Medicare Standardized Payment Amount |
603 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
102 |
Number Of Medical Services |
5026 |
Number Of Medicare Beneficiaries With Medical Services |
3622 |
Total Medical Submitted Charge Amount |
624686 |
Total Medical Medicare Allowed Amount |
250534.96 |
Total Medical Medicare Payment Amount |
200665.37 |
Total Medical Medicare Standardized Payment Amount |
223519.99 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
461 |
Number Of Beneficiaries Age 65 to 74 |
1564 |
Number Of Beneficiaries Age 75 to 84 |
1164 |
Number Of Beneficiaries Age Greater 84 |
433 |
Number Of Female Beneficiaries |
2333 |
Number Of Male Beneficiaries |
1289 |
Number Of Non Hispanic White Beneficiaries |
3113 |
Number Of Black or African American Beneficiaries |
462 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2980 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
642 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.24 |