National Provider Identifier [NPI]: |
1548368509 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6560 FANNIN ST |
Street Address 2 Of The Provider |
STE 750 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770302727 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
16722 |
Number Of Medicare Beneficiaries |
1055 |
Total Submitted Charge Amount |
8199932.29 |
Total Medicare Allowed Amount |
4673570.99 |
Total Medicare Payment Amount |
3634710.24 |
Total Medicare Standardized Payment Amount |
3634979.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
7559 |
Number Of Medicare Beneficiaries With Drug Services |
355 |
Total Drug Submitted ChargeAmount |
5995540.29 |
Total Drug Medicare AllowedAmount |
3925734.6 |
Total Drug Medicare PaymentAmount |
3072986.76 |
Total Drug Medicare Standardized Payment Amount |
3072986.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
9163 |
Number Of Medicare Beneficiaries With Medical Services |
1055 |
Total Medical Submitted Charge Amount |
2204392 |
Total Medical Medicare Allowed Amount |
747836.39 |
Total Medical Medicare Payment Amount |
561723.48 |
Total Medical Medicare Standardized Payment Amount |
561992.31 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
385 |
Number Of Beneficiaries Age 75 to 84 |
355 |
Number Of Beneficiaries Age Greater 84 |
268 |
Number Of Female Beneficiaries |
638 |
Number Of Male Beneficiaries |
417 |
Number Of Non Hispanic White Beneficiaries |
935 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
56 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
986 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
69 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3112 |