National Provider Identifier [NPI]: |
1346264546 |
Last Name Of The Provider |
DUNDER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 S 68TH STREET PL |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685102496 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
103498 |
Number Of Medicare Beneficiaries |
767 |
Total Submitted Charge Amount |
3726602 |
Total Medicare Allowed Amount |
1631126.86 |
Total Medicare Payment Amount |
1270452.89 |
Total Medicare Standardized Payment Amount |
1291128.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
68 |
Number Of Drug Services |
95805 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
2923403 |
Total Drug Medicare AllowedAmount |
1285438.14 |
Total Drug Medicare PaymentAmount |
1006531.02 |
Total Drug Medicare Standardized Payment Amount |
1006531.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
7693 |
Number Of Medicare Beneficiaries With Medical Services |
767 |
Total Medical Submitted Charge Amount |
803199 |
Total Medical Medicare Allowed Amount |
345688.72 |
Total Medical Medicare Payment Amount |
263921.87 |
Total Medical Medicare Standardized Payment Amount |
284597.44 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
269 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
742 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
|
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 |
676 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
91 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8301 |