National Provider Identifier [NPI]: |
1316914542 |
Last Name Of The Provider |
DUNITZ |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4802 S 109TH E AVE |
Street Address 2 Of The Provider |
TULSA BONE AND JOINT ASSOCIATES |
City Of The Provider |
TULSA |
Zip Code Of The Provider |
74146 |
State Code Of The Provider |
OK |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
4945 |
Number Of Medicare Beneficiaries |
782 |
Total Submitted Charge Amount |
1238547.95 |
Total Medicare Allowed Amount |
525761.54 |
Total Medicare Payment Amount |
394730.35 |
Total Medicare Standardized Payment Amount |
433880.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
740 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
14600 |
Total Drug Medicare AllowedAmount |
3874.49 |
Total Drug Medicare PaymentAmount |
2755.32 |
Total Drug Medicare Standardized Payment Amount |
2755.32 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
4205 |
Number Of Medicare Beneficiaries With Medical Services |
782 |
Total Medical Submitted Charge Amount |
1223947.95 |
Total Medical Medicare Allowed Amount |
521887.05 |
Total Medical Medicare Payment Amount |
391975.03 |
Total Medical Medicare Standardized Payment Amount |
431125.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
114 |
Number Of Beneficiaries Age 65 to 74 |
370 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
521 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
672 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
50 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0908 |