National Provider Identifier [NPI]: |
1841395688 |
Last Name Of The Provider |
DUNLOP |
First Name Of The Provider |
ANNE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D.,M.P.H. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4500 N SHALLOWFORD RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUNWOODY |
Zip Code Of The Provider |
303386476 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
203 |
Number Of Medicare Beneficiaries |
104 |
Total Submitted Charge Amount |
37729 |
Total Medicare Allowed Amount |
13214.85 |
Total Medicare Payment Amount |
9174.33 |
Total Medicare Standardized Payment Amount |
9142.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
823 |
Total Drug Medicare AllowedAmount |
233.73 |
Total Drug Medicare PaymentAmount |
228.61 |
Total Drug Medicare Standardized Payment Amount |
228.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
22 |
Number Of Medical Services |
189 |
Number Of Medicare Beneficiaries With Medical Services |
104 |
Total Medical Submitted Charge Amount |
36906 |
Total Medical Medicare Allowed Amount |
12981.12 |
Total Medical Medicare Payment Amount |
8945.72 |
Total Medical Medicare Standardized Payment Amount |
8914.17 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
38 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
69 |
Number Of Male Beneficiaries |
35 |
Number Of Non Hispanic White Beneficiaries |
36 |
Number Of Black or African American Beneficiaries |
56 |
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 |
0 |
Number Of Beneficiaries With Medicare Only Entitlement |
61 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
43 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
|
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.5952 |