National Provider Identifier [NPI]: |
1720036270 |
Last Name Of The Provider |
LUNDEEN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 N ARLINGTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
RENO |
Zip Code Of The Provider |
895034723 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
146 |
Number Of Services |
1724 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
1293509 |
Total Medicare Allowed Amount |
257589.81 |
Total Medicare Payment Amount |
196484.92 |
Total Medicare Standardized Payment Amount |
191254.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
69 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
690 |
Total Drug Medicare AllowedAmount |
393.46 |
Total Drug Medicare PaymentAmount |
268.25 |
Total Drug Medicare Standardized Payment Amount |
268.25 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
145 |
Number Of Medical Services |
1655 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
1292819 |
Total Medical Medicare Allowed Amount |
257196.35 |
Total Medical Medicare Payment Amount |
196216.67 |
Total Medical Medicare Standardized Payment Amount |
190986.13 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
201 |
Number Of Beneficiaries Age 75 to 84 |
85 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
232 |
Number Of Male Beneficiaries |
152 |
Number Of Non Hispanic White Beneficiaries |
345 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
334 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
54 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1626 |