Medicare Facts for Dr. Douglas M. Duncan, MD


National Provider Identifier [NPI]: 1942243506
Last Name Of The Provider DUNCAN
First Name Of The Provider DOUGLAS
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 3555 S NATIONAL AVE
Street Address 2 Of The Provider
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 658077310
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 51
Number Of Services 3258
Number Of Medicare Beneficiaries 187
Total Submitted Charge Amount 136215.5
Total Medicare Allowed Amount 68913.71
Total Medicare Payment Amount 51057.12
Total Medicare Standardized Payment Amount 52328.26
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 2500
Number Of Medicare Beneficiaries With Drug Services 110
Total Drug Submitted ChargeAmount 43505
Total Drug Medicare AllowedAmount 29907.9
Total Drug Medicare PaymentAmount 23351.89
Total Drug Medicare Standardized Payment Amount 23351.89
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 48
Number Of Medical Services 758
Number Of Medicare Beneficiaries With Medical Services 187
Total Medical Submitted Charge Amount 92710.5
Total Medical Medicare Allowed Amount 39005.81
Total Medical Medicare Payment Amount 27705.23
Total Medical Medicare Standardized Payment Amount 28976.37
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 72
Number Of Beneficiaries Age 75 to 84 50
Number Of Beneficiaries Age Greater 84 35
Number Of Female Beneficiaries 123
Number Of Male Beneficiaries 64
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 157
Number Of Beneficiaries With Medicare Medicaid Entitlement 30
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 9
Percent Of With Asthma 7
Percent Of With Cancer 8
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 24
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 50
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 71
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0431

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