National Provider Identifier [NPI]: |
1841293909 |
Last Name Of The Provider |
BRADY |
First Name Of The Provider |
ALFRED |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
755 N 11TH ST |
Street Address 2 Of The Provider |
STE P2200 |
City Of The Provider |
BEAUMONT |
Zip Code Of The Provider |
777021500 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
8442 |
Number Of Medicare Beneficiaries |
1749 |
Total Submitted Charge Amount |
1650223.5 |
Total Medicare Allowed Amount |
275590.61 |
Total Medicare Payment Amount |
198115.58 |
Total Medicare Standardized Payment Amount |
213299.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3495 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
27960 |
Total Drug Medicare AllowedAmount |
645.44 |
Total Drug Medicare PaymentAmount |
506.03 |
Total Drug Medicare Standardized Payment Amount |
506.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
4947 |
Number Of Medicare Beneficiaries With Medical Services |
1749 |
Total Medical Submitted Charge Amount |
1622263.5 |
Total Medical Medicare Allowed Amount |
274945.17 |
Total Medical Medicare Payment Amount |
197609.55 |
Total Medical Medicare Standardized Payment Amount |
212793.27 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
157 |
Number Of Beneficiaries Age 65 to 74 |
586 |
Number Of Beneficiaries Age 75 to 84 |
655 |
Number Of Beneficiaries Age Greater 84 |
351 |
Number Of Female Beneficiaries |
914 |
Number Of Male Beneficiaries |
835 |
Number Of Non Hispanic White Beneficiaries |
1545 |
Number Of Black or African American Beneficiaries |
168 |
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 |
1501 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
248 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.5476 |