National Provider Identifier [NPI]: |
1528105616 |
Last Name Of The Provider |
BRANDES |
First Name Of The Provider |
JOHANN |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1840 MEDICAL CENTER PKWY |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
MURFREESBORO |
Zip Code Of The Provider |
371293199 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
24718 |
Number Of Medicare Beneficiaries |
201 |
Total Submitted Charge Amount |
313584 |
Total Medicare Allowed Amount |
183952.74 |
Total Medicare Payment Amount |
145886.46 |
Total Medicare Standardized Payment Amount |
145520.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
35 |
Number Of Drug Services |
23330 |
Number Of Medicare Beneficiaries With Drug Services |
51 |
Total Drug Submitted ChargeAmount |
169239 |
Total Drug Medicare AllowedAmount |
122547.82 |
Total Drug Medicare PaymentAmount |
96109.42 |
Total Drug Medicare Standardized Payment Amount |
96109.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
1388 |
Number Of Medicare Beneficiaries With Medical Services |
201 |
Total Medical Submitted Charge Amount |
144345 |
Total Medical Medicare Allowed Amount |
61404.92 |
Total Medical Medicare Payment Amount |
49777.04 |
Total Medical Medicare Standardized Payment Amount |
49410.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
76 |
Number Of Beneficiaries Age 75 to 84 |
66 |
Number Of Beneficiaries Age Greater 84 |
33 |
Number Of Female Beneficiaries |
132 |
Number Of Male Beneficiaries |
69 |
Number Of Non Hispanic White Beneficiaries |
176 |
Number Of Black or African American Beneficiaries |
|
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 |
169 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
31 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.9095 |