National Provider Identifier [NPI]: |
1932122637 |
Last Name Of The Provider |
BREST |
First Name Of The Provider |
ALBERT |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
925 CHESTNUT ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PHILADELPHIA |
Zip Code Of The Provider |
191074216 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
16 |
Number Of Services |
2549 |
Number Of Medicare Beneficiaries |
1958 |
Total Submitted Charge Amount |
206197 |
Total Medicare Allowed Amount |
74708.79 |
Total Medicare Payment Amount |
54628.19 |
Total Medicare Standardized Payment Amount |
51833.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
2549 |
Number Of Medicare Beneficiaries With Medical Services |
1958 |
Total Medical Submitted Charge Amount |
206197 |
Total Medical Medicare Allowed Amount |
74708.79 |
Total Medical Medicare Payment Amount |
54628.19 |
Total Medical Medicare Standardized Payment Amount |
51833.02 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
351 |
Number Of Beneficiaries Age 65 to 74 |
1027 |
Number Of Beneficiaries Age 75 to 84 |
439 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
1020 |
Number Of Male Beneficiaries |
938 |
Number Of Non Hispanic White Beneficiaries |
1483 |
Number Of Black or African American Beneficiaries |
329 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1590 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
368 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.5367 |