National Provider Identifier [NPI]: |
1639147879 |
Last Name Of The Provider |
RHODE |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10150 W NATIONAL AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WEST ALLIS |
Zip Code Of The Provider |
532272145 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
7653 |
Number Of Medicare Beneficiaries |
2035 |
Total Submitted Charge Amount |
4035334 |
Total Medicare Allowed Amount |
1131861.21 |
Total Medicare Payment Amount |
851547.82 |
Total Medicare Standardized Payment Amount |
885360.9 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1531 |
Number Of Medicare Beneficiaries With Drug Services |
150 |
Total Drug Submitted ChargeAmount |
224506 |
Total Drug Medicare AllowedAmount |
220262.68 |
Total Drug Medicare PaymentAmount |
172682.5 |
Total Drug Medicare Standardized Payment Amount |
172682.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
6122 |
Number Of Medicare Beneficiaries With Medical Services |
2035 |
Total Medical Submitted Charge Amount |
3810828 |
Total Medical Medicare Allowed Amount |
911598.53 |
Total Medical Medicare Payment Amount |
678865.32 |
Total Medical Medicare Standardized Payment Amount |
712678.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
718 |
Number Of Beneficiaries Age 75 to 84 |
762 |
Number Of Beneficiaries Age Greater 84 |
358 |
Number Of Female Beneficiaries |
1298 |
Number Of Male Beneficiaries |
737 |
Number Of Non Hispanic White Beneficiaries |
1466 |
Number Of Black or African American Beneficiaries |
357 |
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
160 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
498 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2983 |