National Provider Identifier [NPI]: |
1669446860 |
Last Name Of The Provider |
BROOKSBANK |
First Name Of The Provider |
RONALD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
961 SPRING CREEK RD |
Street Address 2 Of The Provider |
CHATTANOOGA FAMILY PRACTICE ASSOICATES PC |
City Of The Provider |
CHATTANOOGA |
Zip Code Of The Provider |
374123909 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
6160 |
Number Of Medicare Beneficiaries |
750 |
Total Submitted Charge Amount |
436009 |
Total Medicare Allowed Amount |
229901.23 |
Total Medicare Payment Amount |
165969.25 |
Total Medicare Standardized Payment Amount |
181630.2 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
475 |
Number Of Medicare Beneficiaries With Drug Services |
140 |
Total Drug Submitted ChargeAmount |
10298 |
Total Drug Medicare AllowedAmount |
1516.06 |
Total Drug Medicare PaymentAmount |
1349.76 |
Total Drug Medicare Standardized Payment Amount |
1349.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
101 |
Number Of Medical Services |
5685 |
Number Of Medicare Beneficiaries With Medical Services |
750 |
Total Medical Submitted Charge Amount |
425711 |
Total Medical Medicare Allowed Amount |
228385.17 |
Total Medical Medicare Payment Amount |
164619.49 |
Total Medical Medicare Standardized Payment Amount |
180280.44 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
368 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
431 |
Number Of Male Beneficiaries |
319 |
Number Of Non Hispanic White Beneficiaries |
692 |
Number Of Black or African American Beneficiaries |
42 |
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 |
688 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
62 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9632 |