National Provider Identifier [NPI]: |
1669699385 |
Last Name Of The Provider |
BRAWNER |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
473 W 12TH AVE |
Street Address 2 Of The Provider |
201 DAVIS HEART & LUNG RESEARCH INSTITUTE |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432101252 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
1009 |
Number Of Medicare Beneficiaries |
387 |
Total Submitted Charge Amount |
250930.43 |
Total Medicare Allowed Amount |
94269.98 |
Total Medicare Payment Amount |
72445.57 |
Total Medicare Standardized Payment Amount |
74303.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
21 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
420 |
Total Drug Medicare AllowedAmount |
168.6 |
Total Drug Medicare PaymentAmount |
165.09 |
Total Drug Medicare Standardized Payment Amount |
165.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
988 |
Number Of Medicare Beneficiaries With Medical Services |
387 |
Total Medical Submitted Charge Amount |
250510.43 |
Total Medical Medicare Allowed Amount |
94101.38 |
Total Medical Medicare Payment Amount |
72280.48 |
Total Medical Medicare Standardized Payment Amount |
74138.58 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
145 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
367 |
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 |
206 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
181 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
70 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.168 |