Medicare Facts for Richard H. Duncan


National Provider Identifier [NPI]: 1003871195
Last Name Of The Provider DUNCAN
First Name Of The Provider RICHARD
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2410 SUSANNAH ST
Street Address 2 Of The Provider
City Of The Provider JOHNSON CITY
Zip Code Of The Provider 376011748
State Code Of The Provider TN
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 84
Number Of Services 1357
Number Of Medicare Beneficiaries 402
Total Submitted Charge Amount 532691.68
Total Medicare Allowed Amount 142116.44
Total Medicare Payment Amount 100768.9
Total Medicare Standardized Payment Amount 116917.49
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 242
Number Of Medicare Beneficiaries With Drug Services 34
Total Drug Submitted ChargeAmount 5012.68
Total Drug Medicare AllowedAmount 2241.72
Total Drug Medicare PaymentAmount 1757.48
Total Drug Medicare Standardized Payment Amount 1757.48
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 79
Number Of Medical Services 1115
Number Of Medicare Beneficiaries With Medical Services 402
Total Medical Submitted Charge Amount 527679
Total Medical Medicare Allowed Amount 139874.72
Total Medical Medicare Payment Amount 99011.42
Total Medical Medicare Standardized Payment Amount 115160.01
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 79
Number Of Beneficiaries Age 65 to 74 194
Number Of Beneficiaries Age 75 to 84 98
Number Of Beneficiaries Age Greater 84 31
Number Of Female Beneficiaries 243
Number Of Male Beneficiaries 159
Number Of Non Hispanic White Beneficiaries 391
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
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 335
Number Of Beneficiaries With Medicare Medicaid Entitlement 67
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 6
Percent Of With Cancer 8
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 25
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 62
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0688

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