National Provider Identifier [NPI]: |
1508853615 |
Last Name Of The Provider |
ZDUNEK |
First Name Of The Provider |
MIROSLAW |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 N CLAYTON ST STE 401 |
Street Address 2 Of The Provider |
ST FRANCIS MEDICAL SERVICES BUILDING |
City Of The Provider |
WILMINGTON |
Zip Code Of The Provider |
198053165 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
62 |
Number Of Services |
6146 |
Number Of Medicare Beneficiaries |
924 |
Total Submitted Charge Amount |
781267 |
Total Medicare Allowed Amount |
429372.29 |
Total Medicare Payment Amount |
330720.62 |
Total Medicare Standardized Payment Amount |
327539.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2456 |
Number Of Medicare Beneficiaries With Drug Services |
97 |
Total Drug Submitted ChargeAmount |
32565 |
Total Drug Medicare AllowedAmount |
28304.3 |
Total Drug Medicare PaymentAmount |
22718.93 |
Total Drug Medicare Standardized Payment Amount |
22718.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3690 |
Number Of Medicare Beneficiaries With Medical Services |
923 |
Total Medical Submitted Charge Amount |
748702 |
Total Medical Medicare Allowed Amount |
401067.99 |
Total Medical Medicare Payment Amount |
308001.69 |
Total Medical Medicare Standardized Payment Amount |
304820.34 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
299 |
Number Of Beneficiaries Age 75 to 84 |
272 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
450 |
Number Of Male Beneficiaries |
474 |
Number Of Non Hispanic White Beneficiaries |
521 |
Number Of Black or African American Beneficiaries |
343 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
659 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
265 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
59 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
4.1491 |