National Provider Identifier [NPI]: |
1932104049 |
Last Name Of The Provider |
OSBORN |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 HERITAGE DR |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
JUPITER |
Zip Code Of The Provider |
334583000 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurosurgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
423 |
Number Of Medicare Beneficiaries |
169 |
Total Submitted Charge Amount |
243399.46 |
Total Medicare Allowed Amount |
90079.69 |
Total Medicare Payment Amount |
69899.86 |
Total Medicare Standardized Payment Amount |
59419.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
60 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
431 |
Total Drug Medicare AllowedAmount |
186.12 |
Total Drug Medicare PaymentAmount |
145.93 |
Total Drug Medicare Standardized Payment Amount |
145.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
363 |
Number Of Medicare Beneficiaries With Medical Services |
169 |
Total Medical Submitted Charge Amount |
242968.46 |
Total Medical Medicare Allowed Amount |
89893.57 |
Total Medical Medicare Payment Amount |
69753.93 |
Total Medical Medicare Standardized Payment Amount |
59273.66 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
51 |
Number Of Beneficiaries Age 75 to 84 |
43 |
Number Of Beneficiaries Age Greater 84 |
47 |
Number Of Female Beneficiaries |
84 |
Number Of Male Beneficiaries |
85 |
Number Of Non Hispanic White Beneficiaries |
136 |
Number Of Black or African American Beneficiaries |
15 |
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 |
124 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
67 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.5347 |