National Provider Identifier [NPI]: |
1811942840 |
Last Name Of The Provider |
SWICK |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 HAWKINS DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
IOWA CITY |
Zip Code Of The Provider |
522421009 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
83 |
Number Of Services |
5069 |
Number Of Medicare Beneficiaries |
2184 |
Total Submitted Charge Amount |
855097 |
Total Medicare Allowed Amount |
189341.78 |
Total Medicare Payment Amount |
138177.78 |
Total Medicare Standardized Payment Amount |
132902.79 |
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 |
83 |
Number Of Medical Services |
5069 |
Number Of Medicare Beneficiaries With Medical Services |
2184 |
Total Medical Submitted Charge Amount |
855097 |
Total Medical Medicare Allowed Amount |
189341.78 |
Total Medical Medicare Payment Amount |
138177.78 |
Total Medical Medicare Standardized Payment Amount |
132902.79 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
169 |
Number Of Beneficiaries Age 65 to 74 |
952 |
Number Of Beneficiaries Age 75 to 84 |
719 |
Number Of Beneficiaries Age Greater 84 |
344 |
Number Of Female Beneficiaries |
1023 |
Number Of Male Beneficiaries |
1161 |
Number Of Non Hispanic White Beneficiaries |
2124 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
23 |
Number Of Beneficiaries With Medicare Only Entitlement |
2013 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0913 |