National Provider Identifier [NPI]: |
1164606018 |
Last Name Of The Provider |
BRAGG |
First Name Of The Provider |
JULIAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD, PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
285 BOULEVARD NE |
Street Address 2 Of The Provider |
SUITE 345 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303124205 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
6727 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
1316662.22 |
Total Medicare Allowed Amount |
283833.54 |
Total Medicare Payment Amount |
215811.86 |
Total Medicare Standardized Payment Amount |
207846.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1934 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
11658 |
Total Drug Medicare AllowedAmount |
10477.71 |
Total Drug Medicare PaymentAmount |
8215.6 |
Total Drug Medicare Standardized Payment Amount |
8215.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
4793 |
Number Of Medicare Beneficiaries With Medical Services |
529 |
Total Medical Submitted Charge Amount |
1305004.22 |
Total Medical Medicare Allowed Amount |
273355.83 |
Total Medical Medicare Payment Amount |
207596.26 |
Total Medical Medicare Standardized Payment Amount |
199631.25 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
120 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
302 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
302 |
Number Of Black or African American Beneficiaries |
214 |
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 |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
170 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
30 |
Average HCC Risk Score Of Beneficiaries |
1.4757 |