National Provider Identifier [NPI]: |
1841219763 |
Last Name Of The Provider |
DUNCAN |
First Name Of The Provider |
ERIC |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 E COLLEGE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BLOOMINGTON |
Zip Code Of The Provider |
617042101 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
59 |
Number Of Services |
8412 |
Number Of Medicare Beneficiaries |
1229 |
Total Submitted Charge Amount |
555576 |
Total Medicare Allowed Amount |
261977.16 |
Total Medicare Payment Amount |
194390.25 |
Total Medicare Standardized Payment Amount |
204030.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
705 |
Number Of Medicare Beneficiaries With Drug Services |
256 |
Total Drug Submitted ChargeAmount |
55891 |
Total Drug Medicare AllowedAmount |
26114.91 |
Total Drug Medicare PaymentAmount |
22154.21 |
Total Drug Medicare Standardized Payment Amount |
22154.21 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
7707 |
Number Of Medicare Beneficiaries With Medical Services |
1228 |
Total Medical Submitted Charge Amount |
499685 |
Total Medical Medicare Allowed Amount |
235862.25 |
Total Medical Medicare Payment Amount |
172236.04 |
Total Medical Medicare Standardized Payment Amount |
181876.13 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
465 |
Number Of Beneficiaries Age 75 to 84 |
424 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
633 |
Number Of Male Beneficiaries |
596 |
Number Of Non Hispanic White Beneficiaries |
1160 |
Number Of Black or African American Beneficiaries |
45 |
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 |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1105 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
124 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.1474 |