National Provider Identifier [NPI]: |
1508863671 |
Last Name Of The Provider |
DUNNING |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8503 ARLINGTON BLVD |
Street Address 2 Of The Provider |
STE 400 |
City Of The Provider |
FAIRFAX |
Zip Code Of The Provider |
220314629 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
55084 |
Number Of Medicare Beneficiaries |
1143 |
Total Submitted Charge Amount |
3489623 |
Total Medicare Allowed Amount |
1005305.3 |
Total Medicare Payment Amount |
786212.17 |
Total Medicare Standardized Payment Amount |
762277.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
72 |
Number Of Drug Services |
48741 |
Number Of Medicare Beneficiaries With Drug Services |
231 |
Total Drug Submitted ChargeAmount |
2720841 |
Total Drug Medicare AllowedAmount |
732955.7 |
Total Drug Medicare PaymentAmount |
570512.1 |
Total Drug Medicare Standardized Payment Amount |
570512.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
77 |
Number Of Medical Services |
6343 |
Number Of Medicare Beneficiaries With Medical Services |
1142 |
Total Medical Submitted Charge Amount |
768782 |
Total Medical Medicare Allowed Amount |
272349.6 |
Total Medical Medicare Payment Amount |
215700.07 |
Total Medical Medicare Standardized Payment Amount |
191765.77 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
518 |
Number Of Beneficiaries Age 75 to 84 |
382 |
Number Of Beneficiaries Age Greater 84 |
174 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
543 |
Number Of Non Hispanic White Beneficiaries |
889 |
Number Of Black or African American Beneficiaries |
101 |
Number Of AsianPacific Islander Beneficiaries |
79 |
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
1028 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
44 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.8185 |