National Provider Identifier [NPI]: |
1013003060 |
Last Name Of The Provider |
HUNT |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2655 COUNTY HIGHWAY I |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHIPPEWA FALLS |
Zip Code Of The Provider |
547291423 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
151 |
Number Of Services |
21095 |
Number Of Medicare Beneficiaries |
535 |
Total Submitted Charge Amount |
622734.9 |
Total Medicare Allowed Amount |
201023.65 |
Total Medicare Payment Amount |
144404.1 |
Total Medicare Standardized Payment Amount |
149178.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
23 |
Number Of Drug Services |
18966 |
Number Of Medicare Beneficiaries With Drug Services |
129 |
Total Drug Submitted ChargeAmount |
186580.63 |
Total Drug Medicare AllowedAmount |
87292.06 |
Total Drug Medicare PaymentAmount |
64073.76 |
Total Drug Medicare Standardized Payment Amount |
64073.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
128 |
Number Of Medical Services |
2129 |
Number Of Medicare Beneficiaries With Medical Services |
535 |
Total Medical Submitted Charge Amount |
436154.27 |
Total Medical Medicare Allowed Amount |
113731.59 |
Total Medical Medicare Payment Amount |
80330.34 |
Total Medical Medicare Standardized Payment Amount |
85105.23 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
122 |
Number Of Beneficiaries Age 65 to 74 |
188 |
Number Of Beneficiaries Age 75 to 84 |
142 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
314 |
Number Of Male Beneficiaries |
221 |
Number Of Non Hispanic White Beneficiaries |
522 |
Number Of Black or African American Beneficiaries |
|
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 |
351 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1898 |