National Provider Identifier [NPI]: |
1821228404 |
Last Name Of The Provider |
HUNTER |
First Name Of The Provider |
RUTHANNA |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1125 MADISON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
JEFFERSON CITY |
Zip Code Of The Provider |
651015227 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
42 |
Number Of Services |
4723 |
Number Of Medicare Beneficiaries |
527 |
Total Submitted Charge Amount |
271841 |
Total Medicare Allowed Amount |
148614.31 |
Total Medicare Payment Amount |
110098.77 |
Total Medicare Standardized Payment Amount |
118172.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3230 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
32110 |
Total Drug Medicare AllowedAmount |
17252.74 |
Total Drug Medicare PaymentAmount |
13526.07 |
Total Drug Medicare Standardized Payment Amount |
13526.07 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1493 |
Number Of Medicare Beneficiaries With Medical Services |
527 |
Total Medical Submitted Charge Amount |
239731 |
Total Medical Medicare Allowed Amount |
131361.57 |
Total Medical Medicare Payment Amount |
96572.7 |
Total Medical Medicare Standardized Payment Amount |
104646.86 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
165 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
318 |
Number Of Male Beneficiaries |
209 |
Number Of Non Hispanic White Beneficiaries |
506 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
424 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
103 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
32 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
50 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
21 |
Average HCC Risk Score Of Beneficiaries |
1.4548 |