National Provider Identifier [NPI]: |
1639244353 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
ANDRE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7064 MARINER BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRING HILL |
Zip Code Of The Provider |
346091000 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
7474 |
Number Of Medicare Beneficiaries |
953 |
Total Submitted Charge Amount |
987854 |
Total Medicare Allowed Amount |
632551.5 |
Total Medicare Payment Amount |
484040.03 |
Total Medicare Standardized Payment Amount |
484959.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
546 |
Number Of Medicare Beneficiaries With Drug Services |
113 |
Total Drug Submitted ChargeAmount |
10188 |
Total Drug Medicare AllowedAmount |
4504.33 |
Total Drug Medicare PaymentAmount |
3531.24 |
Total Drug Medicare Standardized Payment Amount |
3531.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
6928 |
Number Of Medicare Beneficiaries With Medical Services |
953 |
Total Medical Submitted Charge Amount |
977666 |
Total Medical Medicare Allowed Amount |
628047.17 |
Total Medical Medicare Payment Amount |
480508.79 |
Total Medical Medicare Standardized Payment Amount |
481428.04 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
349 |
Number Of Beneficiaries Age Greater 84 |
266 |
Number Of Female Beneficiaries |
490 |
Number Of Male Beneficiaries |
463 |
Number Of Non Hispanic White Beneficiaries |
884 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
41 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
814 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
139 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
55 |
Percent Of With Chronic Obstructive Pulmonary Disease |
45 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.0797 |