National Provider Identifier [NPI]: |
1801865175 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2070 W RUDASILL RD |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857047891 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
158 |
Number Of Services |
138283 |
Number Of Medicare Beneficiaries |
906 |
Total Submitted Charge Amount |
7237587 |
Total Medicare Allowed Amount |
2198920.4 |
Total Medicare Payment Amount |
1708098.42 |
Total Medicare Standardized Payment Amount |
1708505.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
85 |
Number Of Drug Services |
133240 |
Number Of Medicare Beneficiaries With Drug Services |
427 |
Total Drug Submitted ChargeAmount |
4788215 |
Total Drug Medicare AllowedAmount |
1433141.86 |
Total Drug Medicare PaymentAmount |
1120725.74 |
Total Drug Medicare Standardized Payment Amount |
1120725.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
5043 |
Number Of Medicare Beneficiaries With Medical Services |
906 |
Total Medical Submitted Charge Amount |
2449372 |
Total Medical Medicare Allowed Amount |
765778.54 |
Total Medical Medicare Payment Amount |
587372.68 |
Total Medical Medicare Standardized Payment Amount |
587779.73 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
48 |
Number Of Beneficiaries Age 65 to 74 |
405 |
Number Of Beneficiaries Age 75 to 84 |
329 |
Number Of Beneficiaries Age Greater 84 |
124 |
Number Of Female Beneficiaries |
533 |
Number Of Male Beneficiaries |
373 |
Number Of Non Hispanic White Beneficiaries |
807 |
Number Of Black or African American Beneficiaries |
13 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
854 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
52 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
51 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8808 |