National Provider Identifier [NPI]: |
1174685317 |
Last Name Of The Provider |
HUNT |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2141 HAMILTON WAY |
Street Address 2 Of The Provider |
STE.110 |
City Of The Provider |
SAN ANGELO |
Zip Code Of The Provider |
769046831 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
17 |
Number Of Services |
2754 |
Number Of Medicare Beneficiaries |
370 |
Total Submitted Charge Amount |
188129.75 |
Total Medicare Allowed Amount |
175884.48 |
Total Medicare Payment Amount |
126540.73 |
Total Medicare Standardized Payment Amount |
136141.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
462 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
1504.25 |
Total Drug Medicare AllowedAmount |
1070.84 |
Total Drug Medicare PaymentAmount |
801.47 |
Total Drug Medicare Standardized Payment Amount |
801.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
12 |
Number Of Medical Services |
2292 |
Number Of Medicare Beneficiaries With Medical Services |
370 |
Total Medical Submitted Charge Amount |
186625.5 |
Total Medical Medicare Allowed Amount |
174813.64 |
Total Medical Medicare Payment Amount |
125739.26 |
Total Medical Medicare Standardized Payment Amount |
135340.22 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
110 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
200 |
Number Of Male Beneficiaries |
170 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
130 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
150 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
220 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8493 |