National Provider Identifier [NPI]: |
1922080456 |
Last Name Of The Provider |
BRUMBAUGH |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10293 N MERIDIAN ST |
Street Address 2 Of The Provider |
SUITE 325 |
City Of The Provider |
INDIANAPOLIS |
Zip Code Of The Provider |
462901123 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3447 |
Number Of Medicare Beneficiaries |
839 |
Total Submitted Charge Amount |
389655 |
Total Medicare Allowed Amount |
337256.77 |
Total Medicare Payment Amount |
244907.4 |
Total Medicare Standardized Payment Amount |
259344 |
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 |
49 |
Number Of Medical Services |
3447 |
Number Of Medicare Beneficiaries With Medical Services |
839 |
Total Medical Submitted Charge Amount |
389655 |
Total Medical Medicare Allowed Amount |
337256.77 |
Total Medical Medicare Payment Amount |
244907.4 |
Total Medical Medicare Standardized Payment Amount |
259344 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
321 |
Number Of Beneficiaries Age Greater 84 |
195 |
Number Of Female Beneficiaries |
516 |
Number Of Male Beneficiaries |
323 |
Number Of Non Hispanic White Beneficiaries |
649 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
788 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
51 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0522 |