National Provider Identifier [NPI]: |
1750347290 |
Last Name Of The Provider |
BRINKER |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
145 MICHIGAN ST NE |
Street Address 2 Of The Provider |
SUITE 3100 |
City Of The Provider |
GRAND RAPIDS |
Zip Code Of The Provider |
495032562 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
162 |
Number Of Services |
92241 |
Number Of Medicare Beneficiaries |
694 |
Total Submitted Charge Amount |
2918036.51 |
Total Medicare Allowed Amount |
1763083.05 |
Total Medicare Payment Amount |
1366923.89 |
Total Medicare Standardized Payment Amount |
1368449.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
74 |
Number Of Drug Services |
82230 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
2193813.06 |
Total Drug Medicare AllowedAmount |
1421440.33 |
Total Drug Medicare PaymentAmount |
1101278.34 |
Total Drug Medicare Standardized Payment Amount |
1101278.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
10011 |
Number Of Medicare Beneficiaries With Medical Services |
694 |
Total Medical Submitted Charge Amount |
724223.45 |
Total Medical Medicare Allowed Amount |
341642.72 |
Total Medical Medicare Payment Amount |
265645.55 |
Total Medical Medicare Standardized Payment Amount |
267171.57 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
269 |
Number Of Beneficiaries Age 75 to 84 |
207 |
Number Of Beneficiaries Age Greater 84 |
71 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
350 |
Number Of Non Hispanic White Beneficiaries |
617 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
531 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
163 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
38 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
2.417 |