National Provider Identifier [NPI]: |
1275533051 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4881 SUGAR MAPLE DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
WPAFB |
Zip Code Of The Provider |
454335546 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
2869 |
Number Of Medicare Beneficiaries |
1802 |
Total Submitted Charge Amount |
519155 |
Total Medicare Allowed Amount |
118787.94 |
Total Medicare Payment Amount |
89418.05 |
Total Medicare Standardized Payment Amount |
93719.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
2869 |
Number Of Medicare Beneficiaries With Medical Services |
1802 |
Total Medical Submitted Charge Amount |
519155 |
Total Medical Medicare Allowed Amount |
118787.94 |
Total Medical Medicare Payment Amount |
89418.05 |
Total Medical Medicare Standardized Payment Amount |
93719.35 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
547 |
Number Of Beneficiaries Age 65 to 74 |
494 |
Number Of Beneficiaries Age 75 to 84 |
436 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
1059 |
Number Of Male Beneficiaries |
743 |
Number Of Non Hispanic White Beneficiaries |
1455 |
Number Of Black or African American Beneficiaries |
299 |
Number Of AsianPacific Islander Beneficiaries |
20 |
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 |
1092 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
710 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.0922 |