National Provider Identifier [NPI]: |
1780644286 |
Last Name Of The Provider |
RUNDE |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5264 COUNCIL ST NE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CEDAR RAPIDS |
Zip Code Of The Provider |
524022471 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
1158 |
Number Of Medicare Beneficiaries |
548 |
Total Submitted Charge Amount |
106011 |
Total Medicare Allowed Amount |
51941.49 |
Total Medicare Payment Amount |
33837.63 |
Total Medicare Standardized Payment Amount |
37499.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
158 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
3025 |
Total Drug Medicare AllowedAmount |
1036.38 |
Total Drug Medicare PaymentAmount |
863.86 |
Total Drug Medicare Standardized Payment Amount |
863.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
1000 |
Number Of Medicare Beneficiaries With Medical Services |
548 |
Total Medical Submitted Charge Amount |
102986 |
Total Medical Medicare Allowed Amount |
50905.11 |
Total Medical Medicare Payment Amount |
32973.77 |
Total Medical Medicare Standardized Payment Amount |
36635.94 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
134 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
345 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
516 |
Number Of Black or African American Beneficiaries |
18 |
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 |
399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
149 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
50 |
Percent Of With Ischemic Heart Disease |
18 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9518 |