National Provider Identifier [NPI]: |
1720060858 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
SHERRIE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
D.O.,FACC,FACOI |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1350 E MAIN ST |
Street Address 2 Of The Provider |
STE 100 |
City Of The Provider |
OWOSSO |
Zip Code Of The Provider |
488678000 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
1879 |
Number Of Medicare Beneficiaries |
186 |
Total Submitted Charge Amount |
291988 |
Total Medicare Allowed Amount |
193566.83 |
Total Medicare Payment Amount |
147224.23 |
Total Medicare Standardized Payment Amount |
123813.65 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
162 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
14164 |
Total Drug Medicare AllowedAmount |
7038.83 |
Total Drug Medicare PaymentAmount |
5475.69 |
Total Drug Medicare Standardized Payment Amount |
5475.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1717 |
Number Of Medicare Beneficiaries With Medical Services |
186 |
Total Medical Submitted Charge Amount |
277824 |
Total Medical Medicare Allowed Amount |
186528 |
Total Medical Medicare Payment Amount |
141748.54 |
Total Medical Medicare Standardized Payment Amount |
118337.96 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
49 |
Number Of Beneficiaries Age 65 to 74 |
63 |
Number Of Beneficiaries Age 75 to 84 |
51 |
Number Of Beneficiaries Age Greater 84 |
23 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
|
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
136 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
50 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2387 |