National Provider Identifier [NPI]: |
1508869546 |
Last Name Of The Provider |
BROUNS |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 SE 136TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
VANCOUVER |
Zip Code Of The Provider |
986846930 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
174 |
Number Of Services |
53508 |
Number Of Medicare Beneficiaries |
414 |
Total Submitted Charge Amount |
3623794 |
Total Medicare Allowed Amount |
1003169.26 |
Total Medicare Payment Amount |
784720.23 |
Total Medicare Standardized Payment Amount |
784687.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
71 |
Number Of Drug Services |
47681 |
Number Of Medicare Beneficiaries With Drug Services |
215 |
Total Drug Submitted ChargeAmount |
2682798 |
Total Drug Medicare AllowedAmount |
727813.59 |
Total Drug Medicare PaymentAmount |
568693.83 |
Total Drug Medicare Standardized Payment Amount |
568693.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
5827 |
Number Of Medicare Beneficiaries With Medical Services |
413 |
Total Medical Submitted Charge Amount |
940996 |
Total Medical Medicare Allowed Amount |
275355.67 |
Total Medical Medicare Payment Amount |
216026.4 |
Total Medical Medicare Standardized Payment Amount |
215993.34 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
136 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
233 |
Number Of Male Beneficiaries |
181 |
Number Of Non Hispanic White Beneficiaries |
383 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
343 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
40 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.9267 |