National Provider Identifier [NPI]: |
1841308533 |
Last Name Of The Provider |
BUCK |
First Name Of The Provider |
JIM |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2000 SOUTH MAIN STREET |
Street Address 2 Of The Provider |
STE C |
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
525563739 |
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 |
111 |
Number Of Services |
11280 |
Number Of Medicare Beneficiaries |
902 |
Total Submitted Charge Amount |
690439 |
Total Medicare Allowed Amount |
348322.97 |
Total Medicare Payment Amount |
260407.16 |
Total Medicare Standardized Payment Amount |
275560.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
7677 |
Number Of Medicare Beneficiaries With Drug Services |
450 |
Total Drug Submitted ChargeAmount |
141134 |
Total Drug Medicare AllowedAmount |
112707.99 |
Total Drug Medicare PaymentAmount |
90366.4 |
Total Drug Medicare Standardized Payment Amount |
90366.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
3603 |
Number Of Medicare Beneficiaries With Medical Services |
898 |
Total Medical Submitted Charge Amount |
549305 |
Total Medical Medicare Allowed Amount |
235614.98 |
Total Medical Medicare Payment Amount |
170040.76 |
Total Medical Medicare Standardized Payment Amount |
185194.47 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
379 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
196 |
Number Of Female Beneficiaries |
518 |
Number Of Male Beneficiaries |
384 |
Number Of Non Hispanic White Beneficiaries |
882 |
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 |
797 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
105 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
32 |
Percent Of With Hypertension |
46 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9373 |