National Provider Identifier [NPI]: |
1922003003 |
Last Name Of The Provider |
HUNTER |
First Name Of The Provider |
TIMOTHY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1201 W AGENCY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST BURLINGTON |
Zip Code Of The Provider |
526551645 |
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 |
85 |
Number Of Services |
4153 |
Number Of Medicare Beneficiaries |
511 |
Total Submitted Charge Amount |
331037 |
Total Medicare Allowed Amount |
173034.53 |
Total Medicare Payment Amount |
122496.3 |
Total Medicare Standardized Payment Amount |
132371.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
114 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
4513 |
Total Drug Medicare AllowedAmount |
3393.37 |
Total Drug Medicare PaymentAmount |
3321.92 |
Total Drug Medicare Standardized Payment Amount |
3321.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
4039 |
Number Of Medicare Beneficiaries With Medical Services |
511 |
Total Medical Submitted Charge Amount |
326524 |
Total Medical Medicare Allowed Amount |
169641.16 |
Total Medical Medicare Payment Amount |
119174.38 |
Total Medical Medicare Standardized Payment Amount |
129049.81 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
84 |
Number Of Beneficiaries Age 65 to 74 |
216 |
Number Of Beneficiaries Age 75 to 84 |
141 |
Number Of Beneficiaries Age Greater 84 |
70 |
Number Of Female Beneficiaries |
295 |
Number Of Male Beneficiaries |
216 |
Number Of Non Hispanic White Beneficiaries |
488 |
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 |
415 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0688 |