National Provider Identifier [NPI]: |
1447255963 |
Last Name Of The Provider |
MCLEOD |
First Name Of The Provider |
BRIAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
63 CANTERBURY RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKLYN |
Zip Code Of The Provider |
062341901 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
7338 |
Number Of Medicare Beneficiaries |
1133 |
Total Submitted Charge Amount |
1198191.39 |
Total Medicare Allowed Amount |
492212.64 |
Total Medicare Payment Amount |
371266.4 |
Total Medicare Standardized Payment Amount |
352367.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2284 |
Number Of Medicare Beneficiaries With Drug Services |
75 |
Total Drug Submitted ChargeAmount |
334875 |
Total Drug Medicare AllowedAmount |
118388.67 |
Total Drug Medicare PaymentAmount |
92540.04 |
Total Drug Medicare Standardized Payment Amount |
92540.04 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
5054 |
Number Of Medicare Beneficiaries With Medical Services |
1133 |
Total Medical Submitted Charge Amount |
863316.39 |
Total Medical Medicare Allowed Amount |
373823.97 |
Total Medical Medicare Payment Amount |
278726.36 |
Total Medical Medicare Standardized Payment Amount |
259827.51 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
415 |
Number Of Beneficiaries Age 75 to 84 |
417 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
259 |
Number Of Male Beneficiaries |
874 |
Number Of Non Hispanic White Beneficiaries |
1056 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
845 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
288 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3313 |