| National Provider Identifier [NPI]: | 1174537914 |
| Last Name Of The Provider | BRUNK |
| First Name Of The Provider | GLEN |
| Middle Initial Of The Provider | A |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 679 E COUNTY LINE RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | GREENWOOD |
| Zip Code Of The Provider | 461431049 |
| State Code Of The Provider | IN |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 160 |
| Number Of Services | 35034 |
| Number Of Medicare Beneficiaries | 8647 |
| Total Submitted Charge Amount | 2558631 |
| Total Medicare Allowed Amount | 754294.99 |
| Total Medicare Payment Amount | 638164.33 |
| Total Medicare Standardized Payment Amount | 644004.74 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 7296 |
| Number Of Medicare Beneficiaries With Drug Services | 67 |
| Total Drug Submitted ChargeAmount | 237864 |
| Total Drug Medicare AllowedAmount | 122575.01 |
| Total Drug Medicare PaymentAmount | 95385.11 |
| Total Drug Medicare Standardized Payment Amount | 95385.11 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 149 |
| Number Of Medical Services | 27738 |
| Number Of Medicare Beneficiaries With Medical Services | 8647 |
| Total Medical Submitted Charge Amount | 2320767 |
| Total Medical Medicare Allowed Amount | 631719.98 |
| Total Medical Medicare Payment Amount | 542779.22 |
| Total Medical Medicare Standardized Payment Amount | 548619.63 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 529 |
| Number Of Beneficiaries Age 65 to 74 | 3989 |
| Number Of Beneficiaries Age 75 to 84 | 2987 |
| Number Of Beneficiaries Age Greater 84 | 1142 |
| Number Of Female Beneficiaries | 2147 |
| Number Of Male Beneficiaries | 6500 |
| Number Of Non Hispanic White Beneficiaries | 7824 |
| Number Of Black or African American Beneficiaries | 564 |
| Number Of AsianPacific Islander Beneficiaries | 53 |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 163 |
| Number Of Beneficiaries With Medicare Only Entitlement | 7980 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 667 |
| Percent Of With Atrial Fibrillation | 12 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 30 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 31 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 66 |
| Percent Of With Ischemic Heart Disease | 38 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.1162 |