National Provider Identifier [NPI]: |
1710990445 |
Last Name Of The Provider |
BRANT |
First Name Of The Provider |
ARTHUR |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1700 THIRD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEAVER |
Zip Code Of The Provider |
15009 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4921 |
Number Of Medicare Beneficiaries |
384 |
Total Submitted Charge Amount |
958808 |
Total Medicare Allowed Amount |
516266.69 |
Total Medicare Payment Amount |
390794.87 |
Total Medicare Standardized Payment Amount |
408294.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1388 |
Number Of Medicare Beneficiaries With Drug Services |
132 |
Total Drug Submitted ChargeAmount |
248703 |
Total Drug Medicare AllowedAmount |
199950.84 |
Total Drug Medicare PaymentAmount |
154799.45 |
Total Drug Medicare Standardized Payment Amount |
154799.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
3533 |
Number Of Medicare Beneficiaries With Medical Services |
384 |
Total Medical Submitted Charge Amount |
710105 |
Total Medical Medicare Allowed Amount |
316315.85 |
Total Medical Medicare Payment Amount |
235995.42 |
Total Medical Medicare Standardized Payment Amount |
253495.43 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
123 |
Number Of Beneficiaries Age 75 to 84 |
121 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
164 |
Number Of Non Hispanic White Beneficiaries |
367 |
Number Of Black or African American Beneficiaries |
|
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 |
352 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
32 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.3272 |