Medicare Facts for Eric T. Duncan, OTR


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

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