National Provider Identifier [NPI]: |
1457407041 |
Last Name Of The Provider |
BRIONEZ |
First Name Of The Provider |
TAMAR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6707 STERLING RIDGE DR STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
THE WOODLANDS |
Zip Code Of The Provider |
773822773 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
29988 |
Number Of Medicare Beneficiaries |
205 |
Total Submitted Charge Amount |
1046423.5 |
Total Medicare Allowed Amount |
493600.94 |
Total Medicare Payment Amount |
370663.39 |
Total Medicare Standardized Payment Amount |
369726.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
29086 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
896842.5 |
Total Drug Medicare AllowedAmount |
419817.04 |
Total Drug Medicare PaymentAmount |
317755.18 |
Total Drug Medicare Standardized Payment Amount |
317755.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
16 |
Number Of Medical Services |
902 |
Number Of Medicare Beneficiaries With Medical Services |
205 |
Total Medical Submitted Charge Amount |
149581 |
Total Medical Medicare Allowed Amount |
73783.9 |
Total Medical Medicare Payment Amount |
52908.21 |
Total Medical Medicare Standardized Payment Amount |
51971.38 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
99 |
Number Of Beneficiaries Age 75 to 84 |
54 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
159 |
Number Of Male Beneficiaries |
46 |
Number Of Non Hispanic White Beneficiaries |
162 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
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 |
6 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
27 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.074 |