National Provider Identifier [NPI]: |
1821035205 |
Last Name Of The Provider |
LUNDY |
First Name Of The Provider |
GORDON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M. D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2100 WEBSTER ST |
Street Address 2 Of The Provider |
SUITE 117 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941152373 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
1240 |
Number Of Medicare Beneficiaries |
288 |
Total Submitted Charge Amount |
431416 |
Total Medicare Allowed Amount |
135428.23 |
Total Medicare Payment Amount |
100093.58 |
Total Medicare Standardized Payment Amount |
87315.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
406 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
11282 |
Total Drug Medicare AllowedAmount |
722.18 |
Total Drug Medicare PaymentAmount |
554.44 |
Total Drug Medicare Standardized Payment Amount |
554.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
834 |
Number Of Medicare Beneficiaries With Medical Services |
288 |
Total Medical Submitted Charge Amount |
420134 |
Total Medical Medicare Allowed Amount |
134706.05 |
Total Medical Medicare Payment Amount |
99539.14 |
Total Medical Medicare Standardized Payment Amount |
86760.61 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
142 |
Number Of Beneficiaries Age 75 to 84 |
93 |
Number Of Beneficiaries Age Greater 84 |
41 |
Number Of Female Beneficiaries |
179 |
Number Of Male Beneficiaries |
109 |
Number Of Non Hispanic White Beneficiaries |
241 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
16 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1001 |