National Provider Identifier [NPI]: |
1437146404 |
Last Name Of The Provider |
BRILL |
First Name Of The Provider |
DAVID |
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 |
1031 SUNCREST DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAPEER |
Zip Code Of The Provider |
484461136 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
10606 |
Number Of Medicare Beneficiaries |
2587 |
Total Submitted Charge Amount |
1440398.36 |
Total Medicare Allowed Amount |
867569.83 |
Total Medicare Payment Amount |
654628.72 |
Total Medicare Standardized Payment Amount |
679589.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1128 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
80072.36 |
Total Drug Medicare AllowedAmount |
59426.17 |
Total Drug Medicare PaymentAmount |
46464.3 |
Total Drug Medicare Standardized Payment Amount |
46464.3 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
9478 |
Number Of Medicare Beneficiaries With Medical Services |
2587 |
Total Medical Submitted Charge Amount |
1360326 |
Total Medical Medicare Allowed Amount |
808143.66 |
Total Medical Medicare Payment Amount |
608164.42 |
Total Medical Medicare Standardized Payment Amount |
633125.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
398 |
Number Of Beneficiaries Age 65 to 74 |
886 |
Number Of Beneficiaries Age 75 to 84 |
854 |
Number Of Beneficiaries Age Greater 84 |
449 |
Number Of Female Beneficiaries |
1388 |
Number Of Male Beneficiaries |
1199 |
Number Of Non Hispanic White Beneficiaries |
2431 |
Number Of Black or African American Beneficiaries |
89 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
450 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
35 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
70 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7952 |