National Provider Identifier [NPI]: |
1114066974 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
MAX |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3883 AIRWAY DR |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SANTA ROSA |
Zip Code Of The Provider |
954031670 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
31 |
Number Of Services |
12550 |
Number Of Medicare Beneficiaries |
719 |
Total Submitted Charge Amount |
765468 |
Total Medicare Allowed Amount |
296043.25 |
Total Medicare Payment Amount |
219873.23 |
Total Medicare Standardized Payment Amount |
214818.79 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
11045 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
122573 |
Total Drug Medicare AllowedAmount |
60789.81 |
Total Drug Medicare PaymentAmount |
47461.72 |
Total Drug Medicare Standardized Payment Amount |
47461.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
1505 |
Number Of Medicare Beneficiaries With Medical Services |
719 |
Total Medical Submitted Charge Amount |
642895 |
Total Medical Medicare Allowed Amount |
235253.44 |
Total Medical Medicare Payment Amount |
172411.51 |
Total Medical Medicare Standardized Payment Amount |
167357.07 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
217 |
Number Of Beneficiaries Age Greater 84 |
88 |
Number Of Female Beneficiaries |
395 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
654 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
29 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
556 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.3191 |