National Provider Identifier [NPI]: |
1841245800 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
WALTER |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2022 BROOKWOOD MEDICAL CENTER DRIVE |
Street Address 2 Of The Provider |
SUITE 510 |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
35209 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
3754 |
Number Of Medicare Beneficiaries |
990 |
Total Submitted Charge Amount |
278692 |
Total Medicare Allowed Amount |
217596.94 |
Total Medicare Payment Amount |
157954.29 |
Total Medicare Standardized Payment Amount |
171127.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
174 |
Total Drug Submitted ChargeAmount |
4786 |
Total Drug Medicare AllowedAmount |
3562.22 |
Total Drug Medicare PaymentAmount |
3340.27 |
Total Drug Medicare Standardized Payment Amount |
3340.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
3467 |
Number Of Medicare Beneficiaries With Medical Services |
990 |
Total Medical Submitted Charge Amount |
273906 |
Total Medical Medicare Allowed Amount |
214034.72 |
Total Medical Medicare Payment Amount |
154614.02 |
Total Medical Medicare Standardized Payment Amount |
167787.25 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
272 |
Number Of Beneficiaries Age 65 to 74 |
339 |
Number Of Beneficiaries Age 75 to 84 |
251 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
455 |
Number Of Non Hispanic White Beneficiaries |
773 |
Number Of Black or African American Beneficiaries |
198 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
779 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
22 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.5504 |