National Provider Identifier [NPI]: |
1447418579 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 ROUNDABOUT CT |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCKY MOUNT |
Zip Code Of The Provider |
278040946 |
State Code Of The Provider |
NC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
170 |
Number Of Services |
5196 |
Number Of Medicare Beneficiaries |
2985 |
Total Submitted Charge Amount |
724800 |
Total Medicare Allowed Amount |
155319.38 |
Total Medicare Payment Amount |
116495.34 |
Total Medicare Standardized Payment Amount |
121778.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
170 |
Number Of Medical Services |
5196 |
Number Of Medicare Beneficiaries With Medical Services |
2985 |
Total Medical Submitted Charge Amount |
724800 |
Total Medical Medicare Allowed Amount |
155319.38 |
Total Medical Medicare Payment Amount |
116495.34 |
Total Medical Medicare Standardized Payment Amount |
121778.02 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
794 |
Number Of Beneficiaries Age 65 to 74 |
1077 |
Number Of Beneficiaries Age 75 to 84 |
735 |
Number Of Beneficiaries Age Greater 84 |
379 |
Number Of Female Beneficiaries |
1875 |
Number Of Male Beneficiaries |
1110 |
Number Of Non Hispanic White Beneficiaries |
1507 |
Number Of Black or African American Beneficiaries |
1390 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
29 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
1720 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1265 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.8191 |