| National Provider Identifier [NPI]: | 1538130018 |
| Last Name Of The Provider | BREWER |
| First Name Of The Provider | RANDALL |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7925 YOUREE DRIVE |
| Street Address 2 Of The Provider | SUITE 280B |
| City Of The Provider | SHREVEPORT |
| Zip Code Of The Provider | 711055134 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Interventional Pain Management |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 81 |
| Number Of Services | 22710 |
| Number Of Medicare Beneficiaries | 1387 |
| Total Submitted Charge Amount | 4679179.5 |
| Total Medicare Allowed Amount | 1500829.79 |
| Total Medicare Payment Amount | 1140619.8 |
| Total Medicare Standardized Payment Amount | 1047377.96 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 13 |
| Number Of Drug Services | 10440 |
| Number Of Medicare Beneficiaries With Drug Services | 678 |
| Total Drug Submitted ChargeAmount | 105559 |
| Total Drug Medicare AllowedAmount | 32173.77 |
| Total Drug Medicare PaymentAmount | 25105.44 |
| Total Drug Medicare Standardized Payment Amount | 25105.44 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 68 |
| Number Of Medical Services | 12270 |
| Number Of Medicare Beneficiaries With Medical Services | 1387 |
| Total Medical Submitted Charge Amount | 4573620.5 |
| Total Medical Medicare Allowed Amount | 1468656.02 |
| Total Medical Medicare Payment Amount | 1115514.36 |
| Total Medical Medicare Standardized Payment Amount | 1022272.52 |
| Average Age Of Beneficiaries | 67 |
| Number Of Beneficiaries Age Less65 | 506 |
| Number Of Beneficiaries Age 65 to 74 | 504 |
| Number Of Beneficiaries Age 75 to 84 | 289 |
| Number Of Beneficiaries Age Greater 84 | 88 |
| Number Of Female Beneficiaries | 879 |
| Number Of Male Beneficiaries | 508 |
| Number Of Non Hispanic White Beneficiaries | 1073 |
| Number Of Black or African American Beneficiaries | 282 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 16 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 944 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 443 |
| Percent Of With Atrial Fibrillation | 7 |
| Percent Of With Alzheimers Disease or Dementia | 11 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 7 |
| Percent Of With Heart Failure | 21 |
| Percent Of With Chronic Kidney Disease | 24 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 26 |
| Percent Of With Depression | 45 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 56 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 75 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.517 |