Medicare Facts for Dr. Brian E. Higgins, DO


National Provider Identifier [NPI]: 1982601225
Last Name Of The Provider HIGGINS
First Name Of The Provider BRIAN
Middle Initial Of The Provider E
Credentials Of The Provider DO
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2036 SCHORRWAY DR NW
Street Address 2 Of The Provider
City Of The Provider LANCASTER
Zip Code Of The Provider 431308410
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Physical Medicine and Rehabilitation
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 1643
Number Of Medicare Beneficiaries 258
Total Submitted Charge Amount 253254.92
Total Medicare Allowed Amount 104732.2
Total Medicare Payment Amount 77308.01
Total Medicare Standardized Payment Amount 79620.87
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 6
Number Of Drug Services 545
Number Of Medicare Beneficiaries With Drug Services 66
Total Drug Submitted ChargeAmount 7615
Total Drug Medicare AllowedAmount 1617.71
Total Drug Medicare PaymentAmount 1259.41
Total Drug Medicare Standardized Payment Amount 1259.41
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 42
Number Of Medical Services 1098
Number Of Medicare Beneficiaries With Medical Services 258
Total Medical Submitted Charge Amount 245639.92
Total Medical Medicare Allowed Amount 103114.49
Total Medical Medicare Payment Amount 76048.6
Total Medical Medicare Standardized Payment Amount 78361.46
Average Age Of Beneficiaries 66
Number Of Beneficiaries Age Less65 94
Number Of Beneficiaries Age 65 to 74 92
Number Of Beneficiaries Age 75 to 84 52
Number Of Beneficiaries Age Greater 84 20
Number Of Female Beneficiaries 177
Number Of Male Beneficiaries 81
Number Of Non Hispanic White Beneficiaries 241
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 170
Number Of Beneficiaries With Medicare Medicaid Entitlement 88
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 10
Percent Of With Cancer 7
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 19
Percent Of With Chronic Obstructive Pulmonary Disease 19
Percent Of With Depression 35
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 73
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 9
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2626

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