National Provider Identifier [NPI]: |
1093780868 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
833 SAINT VINCENTS DR STE 300 |
Street Address 2 Of The Provider |
POB III |
City Of The Provider |
BIRMINGHAM |
Zip Code Of The Provider |
352051612 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
121 |
Number Of Services |
4043 |
Number Of Medicare Beneficiaries |
258 |
Total Submitted Charge Amount |
167698.5 |
Total Medicare Allowed Amount |
128034.82 |
Total Medicare Payment Amount |
98241.45 |
Total Medicare Standardized Payment Amount |
105817.57 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
1407 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
5097.5 |
Total Drug Medicare AllowedAmount |
2590.71 |
Total Drug Medicare PaymentAmount |
2471.22 |
Total Drug Medicare Standardized Payment Amount |
2471.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2636 |
Number Of Medicare Beneficiaries With Medical Services |
258 |
Total Medical Submitted Charge Amount |
162601 |
Total Medical Medicare Allowed Amount |
125444.11 |
Total Medical Medicare Payment Amount |
95770.23 |
Total Medical Medicare Standardized Payment Amount |
103346.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
135 |
Number Of Beneficiaries Age 75 to 84 |
73 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
126 |
Number Of Male Beneficiaries |
132 |
Number Of Non Hispanic White Beneficiaries |
207 |
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 |
239 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
31 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8353 |