National Provider Identifier [NPI]: |
1780765669 |
Last Name Of The Provider |
GUNTER |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
121 N 20TH ST |
Street Address 2 Of The Provider |
#6 |
City Of The Provider |
OPELIKA |
Zip Code Of The Provider |
368015449 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
6379 |
Number Of Medicare Beneficiaries |
751 |
Total Submitted Charge Amount |
450263.75 |
Total Medicare Allowed Amount |
375592.24 |
Total Medicare Payment Amount |
265971.41 |
Total Medicare Standardized Payment Amount |
273875.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
22 |
Number Of Drug Services |
1647 |
Number Of Medicare Beneficiaries With Drug Services |
368 |
Total Drug Submitted ChargeAmount |
23751.75 |
Total Drug Medicare AllowedAmount |
16441.06 |
Total Drug Medicare PaymentAmount |
14008.67 |
Total Drug Medicare Standardized Payment Amount |
14008.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
97 |
Number Of Medical Services |
4732 |
Number Of Medicare Beneficiaries With Medical Services |
751 |
Total Medical Submitted Charge Amount |
426512 |
Total Medical Medicare Allowed Amount |
359151.18 |
Total Medical Medicare Payment Amount |
251962.74 |
Total Medical Medicare Standardized Payment Amount |
259866.49 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
67 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
427 |
Number Of Male Beneficiaries |
324 |
Number Of Non Hispanic White Beneficiaries |
567 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
669 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
7 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1066 |