National Provider Identifier [NPI]: |
1689677825 |
Last Name Of The Provider |
KUNKEL |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 E GREENVILLE ST |
Street Address 2 Of The Provider |
STE 3850 |
City Of The Provider |
ANDERSON |
Zip Code Of The Provider |
296211580 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
5192 |
Number Of Medicare Beneficiaries |
1045 |
Total Submitted Charge Amount |
500582.73 |
Total Medicare Allowed Amount |
332293.35 |
Total Medicare Payment Amount |
248676.56 |
Total Medicare Standardized Payment Amount |
266231.08 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
487 |
Number Of Medicare Beneficiaries With Drug Services |
298 |
Total Drug Submitted ChargeAmount |
18379.73 |
Total Drug Medicare AllowedAmount |
12468.8 |
Total Drug Medicare PaymentAmount |
11674.79 |
Total Drug Medicare Standardized Payment Amount |
11674.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4705 |
Number Of Medicare Beneficiaries With Medical Services |
1045 |
Total Medical Submitted Charge Amount |
482203 |
Total Medical Medicare Allowed Amount |
319824.55 |
Total Medical Medicare Payment Amount |
237001.77 |
Total Medical Medicare Standardized Payment Amount |
254556.29 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
77 |
Number Of Beneficiaries Age 65 to 74 |
403 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
599 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
964 |
Number Of Black or African American Beneficiaries |
69 |
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
930 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
115 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3222 |