National Provider Identifier [NPI]: |
1649220120 |
Last Name Of The Provider |
DUKE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6401 POPLAR AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
MEMPHIS |
Zip Code Of The Provider |
381194823 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
14455 |
Number Of Medicare Beneficiaries |
1207 |
Total Submitted Charge Amount |
1057964.49 |
Total Medicare Allowed Amount |
285597.6 |
Total Medicare Payment Amount |
215130.96 |
Total Medicare Standardized Payment Amount |
243883.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
12436 |
Number Of Medicare Beneficiaries With Drug Services |
290 |
Total Drug Submitted ChargeAmount |
7821.72 |
Total Drug Medicare AllowedAmount |
5778.81 |
Total Drug Medicare PaymentAmount |
4363.71 |
Total Drug Medicare Standardized Payment Amount |
4363.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
125 |
Number Of Medical Services |
2019 |
Number Of Medicare Beneficiaries With Medical Services |
1207 |
Total Medical Submitted Charge Amount |
1050142.77 |
Total Medical Medicare Allowed Amount |
279818.79 |
Total Medical Medicare Payment Amount |
210767.25 |
Total Medical Medicare Standardized Payment Amount |
239519.56 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
631 |
Number Of Beneficiaries Age 75 to 84 |
323 |
Number Of Beneficiaries Age Greater 84 |
89 |
Number Of Female Beneficiaries |
805 |
Number Of Male Beneficiaries |
402 |
Number Of Non Hispanic White Beneficiaries |
956 |
Number Of Black or African American Beneficiaries |
221 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1076 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0277 |