National Provider Identifier [NPI]: |
1114920485 |
Last Name Of The Provider |
HUNTER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8701 OLD TROY PIKE |
Street Address 2 Of The Provider |
STE 20 |
City Of The Provider |
HUBER HEIGHTS |
Zip Code Of The Provider |
454241066 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
6913 |
Number Of Medicare Beneficiaries |
1759 |
Total Submitted Charge Amount |
1436216 |
Total Medicare Allowed Amount |
644232.71 |
Total Medicare Payment Amount |
482657.85 |
Total Medicare Standardized Payment Amount |
496984.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
119 |
Number Of Medicare Beneficiaries With Drug Services |
27 |
Total Drug Submitted ChargeAmount |
2251 |
Total Drug Medicare AllowedAmount |
456.22 |
Total Drug Medicare PaymentAmount |
400.55 |
Total Drug Medicare Standardized Payment Amount |
400.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
6794 |
Number Of Medicare Beneficiaries With Medical Services |
1759 |
Total Medical Submitted Charge Amount |
1433965 |
Total Medical Medicare Allowed Amount |
643776.49 |
Total Medical Medicare Payment Amount |
482257.3 |
Total Medical Medicare Standardized Payment Amount |
496584.1 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
479 |
Number Of Beneficiaries Age 65 to 74 |
461 |
Number Of Beneficiaries Age 75 to 84 |
452 |
Number Of Beneficiaries Age Greater 84 |
367 |
Number Of Female Beneficiaries |
1001 |
Number Of Male Beneficiaries |
758 |
Number Of Non Hispanic White Beneficiaries |
1311 |
Number Of Black or African American Beneficiaries |
419 |
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 |
811 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
948 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
48 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
51 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.4748 |