National Provider Identifier [NPI]: |
1538167614 |
Last Name Of The Provider |
BRAUN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
604 W WARNER RD |
Street Address 2 Of The Provider |
STE C-3 |
City Of The Provider |
CHANDLER |
Zip Code Of The Provider |
852252906 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
1350 |
Number Of Medicare Beneficiaries |
255 |
Total Submitted Charge Amount |
555324 |
Total Medicare Allowed Amount |
130611.94 |
Total Medicare Payment Amount |
97379.08 |
Total Medicare Standardized Payment Amount |
100754.25 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
314 |
Number Of Medicare Beneficiaries With Drug Services |
161 |
Total Drug Submitted ChargeAmount |
16850 |
Total Drug Medicare AllowedAmount |
5978.71 |
Total Drug Medicare PaymentAmount |
4603.82 |
Total Drug Medicare Standardized Payment Amount |
4603.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
1036 |
Number Of Medicare Beneficiaries With Medical Services |
255 |
Total Medical Submitted Charge Amount |
538474 |
Total Medical Medicare Allowed Amount |
124633.23 |
Total Medical Medicare Payment Amount |
92775.26 |
Total Medical Medicare Standardized Payment Amount |
96150.43 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
166 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
154 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
232 |
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 |
7 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
26 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
73 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9549 |