National Provider Identifier [NPI]: |
1700888708 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
646 COX CREEK PKWY |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
FLORENCE |
Zip Code Of The Provider |
356301105 |
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 |
48 |
Number Of Services |
4250 |
Number Of Medicare Beneficiaries |
992 |
Total Submitted Charge Amount |
314273 |
Total Medicare Allowed Amount |
263998.86 |
Total Medicare Payment Amount |
182047.91 |
Total Medicare Standardized Payment Amount |
192407.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
401 |
Number Of Medicare Beneficiaries With Drug Services |
352 |
Total Drug Submitted ChargeAmount |
12815 |
Total Drug Medicare AllowedAmount |
11313.15 |
Total Drug Medicare PaymentAmount |
11076.58 |
Total Drug Medicare Standardized Payment Amount |
11076.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
3849 |
Number Of Medicare Beneficiaries With Medical Services |
992 |
Total Medical Submitted Charge Amount |
301458 |
Total Medical Medicare Allowed Amount |
252685.71 |
Total Medical Medicare Payment Amount |
170971.33 |
Total Medical Medicare Standardized Payment Amount |
181330.84 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
127 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
602 |
Number Of Male Beneficiaries |
390 |
Number Of Non Hispanic White Beneficiaries |
892 |
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 |
803 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1312 |