National Provider Identifier [NPI]: |
1811313844 |
Last Name Of The Provider |
DUNN |
First Name Of The Provider |
AMANDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
AGNP |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4708 ALLIANCE BLVD STE 300 |
Street Address 2 Of The Provider |
BAYLOR MEDICAL PLAZA 1 |
City Of The Provider |
PLANO |
Zip Code Of The Provider |
750935339 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
2030 |
Number Of Medicare Beneficiaries |
799 |
Total Submitted Charge Amount |
248280.03 |
Total Medicare Allowed Amount |
118925.02 |
Total Medicare Payment Amount |
91784.32 |
Total Medicare Standardized Payment Amount |
112097.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
301 |
Number Of Medicare Beneficiaries With Drug Services |
62 |
Total Drug Submitted ChargeAmount |
16813.5 |
Total Drug Medicare AllowedAmount |
4575.87 |
Total Drug Medicare PaymentAmount |
3791.7 |
Total Drug Medicare Standardized Payment Amount |
3791.7 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
1729 |
Number Of Medicare Beneficiaries With Medical Services |
799 |
Total Medical Submitted Charge Amount |
231466.53 |
Total Medical Medicare Allowed Amount |
114349.15 |
Total Medical Medicare Payment Amount |
87992.62 |
Total Medical Medicare Standardized Payment Amount |
108305.35 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
|
Number Of Beneficiaries Age 75 to 84 |
328 |
Number Of Beneficiaries Age Greater 84 |
247 |
Number Of Female Beneficiaries |
607 |
Number Of Male Beneficiaries |
192 |
Number Of Non Hispanic White Beneficiaries |
750 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
772 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
27 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1134 |