National Provider Identifier [NPI]: |
1225024482 |
Last Name Of The Provider |
DUNAWAY |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
23 PROFESSIONAL PARK DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
CLARKSVILLE |
Zip Code Of The Provider |
728304432 |
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 |
155 |
Number Of Services |
7299 |
Number Of Medicare Beneficiaries |
673 |
Total Submitted Charge Amount |
283028.5 |
Total Medicare Allowed Amount |
241223.77 |
Total Medicare Payment Amount |
176930.34 |
Total Medicare Standardized Payment Amount |
187900.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
799 |
Number Of Medicare Beneficiaries With Drug Services |
237 |
Total Drug Submitted ChargeAmount |
7239.5 |
Total Drug Medicare AllowedAmount |
4602.86 |
Total Drug Medicare PaymentAmount |
4419.34 |
Total Drug Medicare Standardized Payment Amount |
4419.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
139 |
Number Of Medical Services |
6500 |
Number Of Medicare Beneficiaries With Medical Services |
673 |
Total Medical Submitted Charge Amount |
275789 |
Total Medical Medicare Allowed Amount |
236620.91 |
Total Medical Medicare Payment Amount |
172511 |
Total Medical Medicare Standardized Payment Amount |
183480.82 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
220 |
Number Of Beneficiaries Age 65 to 74 |
247 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
390 |
Number Of Male Beneficiaries |
283 |
Number Of Non Hispanic White Beneficiaries |
642 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
448 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
25 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0661 |