National Provider Identifier [NPI]: |
1871541029 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7317 E TANQUE VERDE RD |
Street Address 2 Of The Provider |
ARIZONA COMMUNITY PHYSICIANS PC |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857153475 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
157 |
Number Of Services |
6861 |
Number Of Medicare Beneficiaries |
323 |
Total Submitted Charge Amount |
339432.5 |
Total Medicare Allowed Amount |
158129.7 |
Total Medicare Payment Amount |
127928.87 |
Total Medicare Standardized Payment Amount |
131092.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
1484 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
17738 |
Total Drug Medicare AllowedAmount |
9629.13 |
Total Drug Medicare PaymentAmount |
9243.28 |
Total Drug Medicare Standardized Payment Amount |
9243.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
147 |
Number Of Medical Services |
5377 |
Number Of Medicare Beneficiaries With Medical Services |
323 |
Total Medical Submitted Charge Amount |
321694.5 |
Total Medical Medicare Allowed Amount |
148500.57 |
Total Medical Medicare Payment Amount |
118685.59 |
Total Medical Medicare Standardized Payment Amount |
121848.96 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
175 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
181 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
304 |
Number Of Black or African American Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
27 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0332 |