National Provider Identifier [NPI]: |
1710169099 |
Last Name Of The Provider |
HUNGERFORD |
First Name Of The Provider |
PATRICK |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2900 DOCTORS PARK DR |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
MEDFORD |
Zip Code Of The Provider |
975048198 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2381 |
Number Of Medicare Beneficiaries |
430 |
Total Submitted Charge Amount |
296351.98 |
Total Medicare Allowed Amount |
128264.37 |
Total Medicare Payment Amount |
94774.59 |
Total Medicare Standardized Payment Amount |
98375.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
303 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
14635 |
Total Drug Medicare AllowedAmount |
3439.73 |
Total Drug Medicare PaymentAmount |
2187.08 |
Total Drug Medicare Standardized Payment Amount |
2187.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2078 |
Number Of Medicare Beneficiaries With Medical Services |
430 |
Total Medical Submitted Charge Amount |
281716.98 |
Total Medical Medicare Allowed Amount |
124824.64 |
Total Medical Medicare Payment Amount |
92587.51 |
Total Medical Medicare Standardized Payment Amount |
96188.17 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
235 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
278 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
410 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
365 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.13 |