National Provider Identifier [NPI]: |
1679554877 |
Last Name Of The Provider |
BROBBEY |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
27900 EUCLID AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUCLID |
Zip Code Of The Provider |
441323539 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4476 |
Number Of Medicare Beneficiaries |
971 |
Total Submitted Charge Amount |
602887.35 |
Total Medicare Allowed Amount |
404710.94 |
Total Medicare Payment Amount |
306193.4 |
Total Medicare Standardized Payment Amount |
315352.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
31 |
Number Of Medicare Beneficiaries With Drug Services |
29 |
Total Drug Submitted ChargeAmount |
872 |
Total Drug Medicare AllowedAmount |
556.45 |
Total Drug Medicare PaymentAmount |
541.56 |
Total Drug Medicare Standardized Payment Amount |
541.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
4445 |
Number Of Medicare Beneficiaries With Medical Services |
971 |
Total Medical Submitted Charge Amount |
602015.35 |
Total Medical Medicare Allowed Amount |
404154.49 |
Total Medical Medicare Payment Amount |
305651.84 |
Total Medical Medicare Standardized Payment Amount |
314810.57 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
260 |
Number Of Beneficiaries Age 65 to 74 |
267 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
630 |
Number Of Male Beneficiaries |
341 |
Number Of Non Hispanic White Beneficiaries |
498 |
Number Of Black or African American Beneficiaries |
453 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
514 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
37 |
Percent Of With Depression |
45 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
23 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.5421 |