National Provider Identifier [NPI]: |
1922097948 |
Last Name Of The Provider |
BRUS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5880 RAND BLVD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342385118 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
4800 |
Number Of Medicare Beneficiaries |
1180 |
Total Submitted Charge Amount |
510886 |
Total Medicare Allowed Amount |
315456.89 |
Total Medicare Payment Amount |
221218.88 |
Total Medicare Standardized Payment Amount |
223514.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
691 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
19018 |
Total Drug Medicare AllowedAmount |
12278.32 |
Total Drug Medicare PaymentAmount |
10158.28 |
Total Drug Medicare Standardized Payment Amount |
10158.28 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
4109 |
Number Of Medicare Beneficiaries With Medical Services |
1179 |
Total Medical Submitted Charge Amount |
491868 |
Total Medical Medicare Allowed Amount |
303178.57 |
Total Medical Medicare Payment Amount |
211060.6 |
Total Medical Medicare Standardized Payment Amount |
213355.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
550 |
Number Of Beneficiaries Age 75 to 84 |
397 |
Number Of Beneficiaries Age Greater 84 |
153 |
Number Of Female Beneficiaries |
600 |
Number Of Male Beneficiaries |
580 |
Number Of Non Hispanic White Beneficiaries |
1120 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1101 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1193 |