National Provider Identifier [NPI]: |
1013908276 |
Last Name Of The Provider |
BREN |
First Name Of The Provider |
GEORGE |
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 |
2440 M ST NW |
Street Address 2 Of The Provider |
SUITE 804 |
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200371404 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
8732 |
Number Of Medicare Beneficiaries |
1546 |
Total Submitted Charge Amount |
1009931.02 |
Total Medicare Allowed Amount |
465956.15 |
Total Medicare Payment Amount |
349316.66 |
Total Medicare Standardized Payment Amount |
312878.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4789 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
20085.02 |
Total Drug Medicare AllowedAmount |
18411.74 |
Total Drug Medicare PaymentAmount |
14125.96 |
Total Drug Medicare Standardized Payment Amount |
14125.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3943 |
Number Of Medicare Beneficiaries With Medical Services |
1546 |
Total Medical Submitted Charge Amount |
989846 |
Total Medical Medicare Allowed Amount |
447544.41 |
Total Medical Medicare Payment Amount |
335190.7 |
Total Medical Medicare Standardized Payment Amount |
298753.03 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
566 |
Number Of Beneficiaries Age 75 to 84 |
558 |
Number Of Beneficiaries Age Greater 84 |
246 |
Number Of Female Beneficiaries |
756 |
Number Of Male Beneficiaries |
790 |
Number Of Non Hispanic White Beneficiaries |
748 |
Number Of Black or African American Beneficiaries |
738 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1290 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
256 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.9943 |