National Provider Identifier [NPI]: |
1962441329 |
Last Name Of The Provider |
TOWBIN |
First Name Of The Provider |
BRADLEY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10151 ENTERPRISE CENTER BLVD |
Street Address 2 Of The Provider |
106 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334373759 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
4621 |
Number Of Medicare Beneficiaries |
699 |
Total Submitted Charge Amount |
754305 |
Total Medicare Allowed Amount |
284831.83 |
Total Medicare Payment Amount |
218002.37 |
Total Medicare Standardized Payment Amount |
206856.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2200 |
Number Of Medicare Beneficiaries With Drug Services |
22 |
Total Drug Submitted ChargeAmount |
11000 |
Total Drug Medicare AllowedAmount |
400.6 |
Total Drug Medicare PaymentAmount |
314.06 |
Total Drug Medicare Standardized Payment Amount |
314.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2421 |
Number Of Medicare Beneficiaries With Medical Services |
699 |
Total Medical Submitted Charge Amount |
743305 |
Total Medical Medicare Allowed Amount |
284431.23 |
Total Medical Medicare Payment Amount |
217688.31 |
Total Medical Medicare Standardized Payment Amount |
206542.82 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
307 |
Number Of Non Hispanic White Beneficiaries |
611 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
612 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
87 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7999 |