Medicare Facts for Dr. Michael C. Brunner, MD


National Provider Identifier [NPI]: 1215166319
Last Name Of The Provider BRUNNER
First Name Of The Provider MICHAEL
Middle Initial Of The Provider
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1515 E LAKE ST
Street Address 2 Of The Provider ATTN: ABMG PRIMARY CARE
City Of The Provider HANOVER PARK
Zip Code Of The Provider 601334869
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 26
Number Of Services 99
Number Of Medicare Beneficiaries 51
Total Submitted Charge Amount 10584
Total Medicare Allowed Amount 6481.58
Total Medicare Payment Amount 4918.47
Total Medicare Standardized Payment Amount 4779.41
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 68
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 28
Number Of Beneficiaries Age 75 to 84 11
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 20
Number Of Male Beneficiaries 31
Number Of Non Hispanic White Beneficiaries 35
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 57
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 25
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9682

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