National Provider Identifier [NPI]: |
1871518787 |
Last Name Of The Provider |
BUNYI |
First Name Of The Provider |
PATRICK |
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 |
819 TOWNSEND BLVD STE 4 |
Street Address 2 Of The Provider |
|
City Of The Provider |
JACKSONVILLE |
Zip Code Of The Provider |
322116110 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2443 |
Number Of Medicare Beneficiaries |
318 |
Total Submitted Charge Amount |
332106 |
Total Medicare Allowed Amount |
284165.93 |
Total Medicare Payment Amount |
208502.13 |
Total Medicare Standardized Payment Amount |
208641.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
121 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
5240 |
Total Drug Medicare AllowedAmount |
1329.75 |
Total Drug Medicare PaymentAmount |
1281.32 |
Total Drug Medicare Standardized Payment Amount |
1281.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2322 |
Number Of Medicare Beneficiaries With Medical Services |
318 |
Total Medical Submitted Charge Amount |
326866 |
Total Medical Medicare Allowed Amount |
282836.18 |
Total Medical Medicare Payment Amount |
207220.81 |
Total Medical Medicare Standardized Payment Amount |
207359.84 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
92 |
Number Of Beneficiaries Age 75 to 84 |
62 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
173 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
168 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
29 |
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 |
131 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
58 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6776 |