National Provider Identifier [NPI]: |
1366464554 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
RISA |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
525 E MARKET ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
AKRON |
Zip Code Of The Provider |
443041619 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
4146 |
Number Of Medicare Beneficiaries |
2660 |
Total Submitted Charge Amount |
231066 |
Total Medicare Allowed Amount |
77491.84 |
Total Medicare Payment Amount |
60328.58 |
Total Medicare Standardized Payment Amount |
61670.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
107 |
Number Of Medical Services |
4146 |
Number Of Medicare Beneficiaries With Medical Services |
2660 |
Total Medical Submitted Charge Amount |
231066 |
Total Medical Medicare Allowed Amount |
77491.84 |
Total Medical Medicare Payment Amount |
60328.58 |
Total Medical Medicare Standardized Payment Amount |
61670.01 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
656 |
Number Of Beneficiaries Age 65 to 74 |
896 |
Number Of Beneficiaries Age 75 to 84 |
645 |
Number Of Beneficiaries Age Greater 84 |
463 |
Number Of Female Beneficiaries |
1622 |
Number Of Male Beneficiaries |
1038 |
Number Of Non Hispanic White Beneficiaries |
2280 |
Number Of Black or African American Beneficiaries |
318 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1769 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
891 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
36 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9361 |