National Provider Identifier [NPI]: |
1740266535 |
Last Name Of The Provider |
DUNAWAY |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
406 N WILLOW ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HARRISON |
Zip Code Of The Provider |
726013517 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
138 |
Number Of Services |
6421 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
344291.68 |
Total Medicare Allowed Amount |
252358.44 |
Total Medicare Payment Amount |
185545.02 |
Total Medicare Standardized Payment Amount |
196050.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
540 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
7996.25 |
Total Drug Medicare AllowedAmount |
6763.99 |
Total Drug Medicare PaymentAmount |
6043.18 |
Total Drug Medicare Standardized Payment Amount |
6043.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
124 |
Number Of Medical Services |
5881 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
336295.43 |
Total Medical Medicare Allowed Amount |
245594.45 |
Total Medical Medicare Payment Amount |
179501.84 |
Total Medical Medicare Standardized Payment Amount |
190007.22 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
127 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
231 |
Number Of Male Beneficiaries |
127 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
262 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
96 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2282 |