National Provider Identifier [NPI]: |
1992705248 |
Last Name Of The Provider |
BROWNE |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2950 S MARYLAND PKWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LAS VEGAS |
Zip Code Of The Provider |
891092204 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
10194 |
Number Of Medicare Beneficiaries |
2188 |
Total Submitted Charge Amount |
1454390.43 |
Total Medicare Allowed Amount |
518643.74 |
Total Medicare Payment Amount |
379747.44 |
Total Medicare Standardized Payment Amount |
386408 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
7132 |
Number Of Medicare Beneficiaries With Drug Services |
210 |
Total Drug Submitted ChargeAmount |
5838.67 |
Total Drug Medicare AllowedAmount |
3983.85 |
Total Drug Medicare PaymentAmount |
2909.2 |
Total Drug Medicare Standardized Payment Amount |
2909.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
179 |
Number Of Medical Services |
3062 |
Number Of Medicare Beneficiaries With Medical Services |
2188 |
Total Medical Submitted Charge Amount |
1448551.76 |
Total Medical Medicare Allowed Amount |
514659.89 |
Total Medical Medicare Payment Amount |
376838.24 |
Total Medical Medicare Standardized Payment Amount |
383498.8 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
331 |
Number Of Beneficiaries Age 65 to 74 |
1093 |
Number Of Beneficiaries Age 75 to 84 |
622 |
Number Of Beneficiaries Age Greater 84 |
142 |
Number Of Female Beneficiaries |
1402 |
Number Of Male Beneficiaries |
786 |
Number Of Non Hispanic White Beneficiaries |
1578 |
Number Of Black or African American Beneficiaries |
246 |
Number Of AsianPacific Islander Beneficiaries |
124 |
Number Of Hispanic Beneficiaries |
178 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1904 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
284 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2626 |