National Provider Identifier [NPI]: |
1568497766 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4848 MCLEOD DR E |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAGINAW |
Zip Code Of The Provider |
486042839 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
26 |
Number Of Services |
2145 |
Number Of Medicare Beneficiaries |
584 |
Total Submitted Charge Amount |
287818 |
Total Medicare Allowed Amount |
235844.71 |
Total Medicare Payment Amount |
182167.59 |
Total Medicare Standardized Payment Amount |
187479.63 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
139 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
2130 |
Total Drug Medicare AllowedAmount |
1591.79 |
Total Drug Medicare PaymentAmount |
1036.01 |
Total Drug Medicare Standardized Payment Amount |
1036.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2006 |
Number Of Medicare Beneficiaries With Medical Services |
584 |
Total Medical Submitted Charge Amount |
285688 |
Total Medical Medicare Allowed Amount |
234252.92 |
Total Medical Medicare Payment Amount |
181131.58 |
Total Medical Medicare Standardized Payment Amount |
186443.62 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
96 |
Number Of Beneficiaries Age 65 to 74 |
195 |
Number Of Beneficiaries Age 75 to 84 |
208 |
Number Of Beneficiaries Age Greater 84 |
85 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
320 |
Number Of Non Hispanic White Beneficiaries |
513 |
Number Of Black or African American Beneficiaries |
37 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
60 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
67 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
3.5176 |