National Provider Identifier [NPI]: |
1770540064 |
Last Name Of The Provider |
DREW |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 E SECOND ST., |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
RENO |
Zip Code Of The Provider |
895021198 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
116 |
Number Of Services |
5908 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
1501383 |
Total Medicare Allowed Amount |
490614.31 |
Total Medicare Payment Amount |
362043.73 |
Total Medicare Standardized Payment Amount |
364060.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
2085 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
164250 |
Total Drug Medicare AllowedAmount |
110535.83 |
Total Drug Medicare PaymentAmount |
85743.97 |
Total Drug Medicare Standardized Payment Amount |
85743.97 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
106 |
Number Of Medical Services |
3823 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
1337133 |
Total Medical Medicare Allowed Amount |
380078.48 |
Total Medical Medicare Payment Amount |
276299.76 |
Total Medical Medicare Standardized Payment Amount |
278316.15 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
68 |
Number Of Beneficiaries Age 65 to 74 |
335 |
Number Of Beneficiaries Age 75 to 84 |
237 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
560 |
Number Of Non Hispanic White Beneficiaries |
599 |
Number Of Black or African American Beneficiaries |
14 |
Number Of AsianPacific Islander Beneficiaries |
15 |
Number Of Hispanic Beneficiaries |
51 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
648 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
58 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.084 |