National Provider Identifier [NPI]: |
1124042346 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
TERRY |
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 |
850 E HARVARD AVE |
Street Address 2 Of The Provider |
SUITE 285 |
City Of The Provider |
DENVER |
Zip Code Of The Provider |
802105073 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
3974 |
Number Of Medicare Beneficiaries |
372 |
Total Submitted Charge Amount |
681569.81 |
Total Medicare Allowed Amount |
308613.02 |
Total Medicare Payment Amount |
238241.64 |
Total Medicare Standardized Payment Amount |
235923.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
889 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
2978.01 |
Total Drug Medicare AllowedAmount |
785.87 |
Total Drug Medicare PaymentAmount |
613.94 |
Total Drug Medicare Standardized Payment Amount |
613.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
3085 |
Number Of Medicare Beneficiaries With Medical Services |
372 |
Total Medical Submitted Charge Amount |
678591.8 |
Total Medical Medicare Allowed Amount |
307827.15 |
Total Medical Medicare Payment Amount |
237627.7 |
Total Medical Medicare Standardized Payment Amount |
235309.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
103 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
372 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
341 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
346 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
26 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
16 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
14 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0154 |