National Provider Identifier [NPI]: |
1326009887 |
Last Name Of The Provider |
LUND |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2800 CHICAGO AVE |
Street Address 2 Of The Provider |
SUITE 250 |
City Of The Provider |
MINNEAPOLIS |
Zip Code Of The Provider |
554071318 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
590 |
Number Of Medicare Beneficiaries |
192 |
Total Submitted Charge Amount |
117441 |
Total Medicare Allowed Amount |
47512.46 |
Total Medicare Payment Amount |
34586.48 |
Total Medicare Standardized Payment Amount |
35608.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
33 |
Total Drug Submitted ChargeAmount |
1944 |
Total Drug Medicare AllowedAmount |
1140.44 |
Total Drug Medicare PaymentAmount |
1100.4 |
Total Drug Medicare Standardized Payment Amount |
1100.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
530 |
Number Of Medicare Beneficiaries With Medical Services |
192 |
Total Medical Submitted Charge Amount |
115497 |
Total Medical Medicare Allowed Amount |
46372.02 |
Total Medical Medicare Payment Amount |
33486.08 |
Total Medical Medicare Standardized Payment Amount |
34507.76 |
Average Age Of Beneficiaries |
64 |
Number Of Beneficiaries Age Less65 |
94 |
Number Of Beneficiaries Age 65 to 74 |
50 |
Number Of Beneficiaries Age 75 to 84 |
32 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
82 |
Number Of Non Hispanic White Beneficiaries |
91 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
12 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
117 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
40 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.0272 |