National Provider Identifier [NPI]: |
1649494881 |
Last Name Of The Provider |
BRINKMAN |
First Name Of The Provider |
VINCENT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
473 W 12TH AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432101252 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
1782 |
Number Of Medicare Beneficiaries |
886 |
Total Submitted Charge Amount |
498980.1 |
Total Medicare Allowed Amount |
174254.48 |
Total Medicare Payment Amount |
131460.78 |
Total Medicare Standardized Payment Amount |
137438.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
47 |
Total Drug Submitted ChargeAmount |
22983.1 |
Total Drug Medicare AllowedAmount |
9291.68 |
Total Drug Medicare PaymentAmount |
7284.62 |
Total Drug Medicare Standardized Payment Amount |
7284.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
1596 |
Number Of Medicare Beneficiaries With Medical Services |
886 |
Total Medical Submitted Charge Amount |
475997 |
Total Medical Medicare Allowed Amount |
164962.8 |
Total Medical Medicare Payment Amount |
124176.16 |
Total Medical Medicare Standardized Payment Amount |
130153.93 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
341 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
68 |
Number Of Female Beneficiaries |
424 |
Number Of Male Beneficiaries |
462 |
Number Of Non Hispanic White Beneficiaries |
762 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
24 |
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 |
649 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
237 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.2836 |