National Provider Identifier [NPI]: |
1174556070 |
Last Name Of The Provider |
TRUNSKY |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
50505 SCHOENHERR RD |
Street Address 2 Of The Provider |
SUITE 290 |
City Of The Provider |
SHELBY TOWNSHIP |
Zip Code Of The Provider |
483153140 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
4077 |
Number Of Medicare Beneficiaries |
1296 |
Total Submitted Charge Amount |
564859 |
Total Medicare Allowed Amount |
424465.86 |
Total Medicare Payment Amount |
324083.05 |
Total Medicare Standardized Payment Amount |
319220.94 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
2230 |
Total Drug Medicare AllowedAmount |
1474.6 |
Total Drug Medicare PaymentAmount |
1429.93 |
Total Drug Medicare Standardized Payment Amount |
1429.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
4027 |
Number Of Medicare Beneficiaries With Medical Services |
1296 |
Total Medical Submitted Charge Amount |
562629 |
Total Medical Medicare Allowed Amount |
422991.26 |
Total Medical Medicare Payment Amount |
322653.12 |
Total Medical Medicare Standardized Payment Amount |
317791.01 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
432 |
Number Of Beneficiaries Age 75 to 84 |
476 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
698 |
Number Of Male Beneficiaries |
598 |
Number Of Non Hispanic White Beneficiaries |
1200 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
27 |
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
34 |
Number Of Beneficiaries With Medicare Only Entitlement |
1096 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
200 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
25 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
53 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
62 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
46 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.376 |