National Provider Identifier [NPI]: |
1851338917 |
Last Name Of The Provider |
DUX |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1720 MESQUITE AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAKE HAVASU CITY |
Zip Code Of The Provider |
864035602 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
188 |
Number Of Services |
16317 |
Number Of Medicare Beneficiaries |
1308 |
Total Submitted Charge Amount |
1122366.4 |
Total Medicare Allowed Amount |
699881.17 |
Total Medicare Payment Amount |
528213.7 |
Total Medicare Standardized Payment Amount |
537538.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
1100 |
Number Of Medicare Beneficiaries With Drug Services |
252 |
Total Drug Submitted ChargeAmount |
47636.18 |
Total Drug Medicare AllowedAmount |
12802.4 |
Total Drug Medicare PaymentAmount |
10444.39 |
Total Drug Medicare Standardized Payment Amount |
10444.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
171 |
Number Of Medical Services |
15217 |
Number Of Medicare Beneficiaries With Medical Services |
1308 |
Total Medical Submitted Charge Amount |
1074730.22 |
Total Medical Medicare Allowed Amount |
687078.77 |
Total Medical Medicare Payment Amount |
517769.31 |
Total Medical Medicare Standardized Payment Amount |
527093.95 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
89 |
Number Of Beneficiaries Age 65 to 74 |
688 |
Number Of Beneficiaries Age 75 to 84 |
399 |
Number Of Beneficiaries Age Greater 84 |
132 |
Number Of Female Beneficiaries |
626 |
Number Of Male Beneficiaries |
682 |
Number Of Non Hispanic White Beneficiaries |
1252 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1221 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.938 |