National Provider Identifier [NPI]: |
1144486309 |
Last Name Of The Provider |
BRAUN |
First Name Of The Provider |
EDUARDO |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1668 S US HIGHWAY 421 |
Street Address 2 Of The Provider |
|
City Of The Provider |
WESTVILLE |
Zip Code Of The Provider |
463919523 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
136 |
Number Of Services |
321250 |
Number Of Medicare Beneficiaries |
540 |
Total Submitted Charge Amount |
9138928.98 |
Total Medicare Allowed Amount |
3498956.21 |
Total Medicare Payment Amount |
2722813.98 |
Total Medicare Standardized Payment Amount |
2739656.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
77 |
Number Of Drug Services |
316469 |
Number Of Medicare Beneficiaries With Drug Services |
356 |
Total Drug Submitted ChargeAmount |
7890911.98 |
Total Drug Medicare AllowedAmount |
3130825.12 |
Total Drug Medicare PaymentAmount |
2441345.56 |
Total Drug Medicare Standardized Payment Amount |
2441345.56 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
4781 |
Number Of Medicare Beneficiaries With Medical Services |
538 |
Total Medical Submitted Charge Amount |
1248017 |
Total Medical Medicare Allowed Amount |
368131.09 |
Total Medical Medicare Payment Amount |
281468.42 |
Total Medical Medicare Standardized Payment Amount |
298310.8 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
227 |
Number Of Beneficiaries Age 75 to 84 |
194 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
305 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
522 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
454 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
86 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
47 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
2.0127 |