National Provider Identifier [NPI]: |
1124090618 |
Last Name Of The Provider |
DUKES |
First Name Of The Provider |
ERIK |
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 |
1301 N 2ND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BOONEVILLE |
Zip Code Of The Provider |
388291028 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
134 |
Number Of Services |
13174 |
Number Of Medicare Beneficiaries |
690 |
Total Submitted Charge Amount |
569035 |
Total Medicare Allowed Amount |
337059.54 |
Total Medicare Payment Amount |
252659.45 |
Total Medicare Standardized Payment Amount |
280992.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
3121 |
Number Of Medicare Beneficiaries With Drug Services |
410 |
Total Drug Submitted ChargeAmount |
17655 |
Total Drug Medicare AllowedAmount |
6981.85 |
Total Drug Medicare PaymentAmount |
6291.33 |
Total Drug Medicare Standardized Payment Amount |
6291.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
10053 |
Number Of Medicare Beneficiaries With Medical Services |
690 |
Total Medical Submitted Charge Amount |
551380 |
Total Medical Medicare Allowed Amount |
330077.69 |
Total Medical Medicare Payment Amount |
246368.12 |
Total Medical Medicare Standardized Payment Amount |
274701.57 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
407 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
625 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
233 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0122 |