National Provider Identifier [NPI]: |
1669461687 |
Last Name Of The Provider |
BRATT |
First Name Of The Provider |
IRVING |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1555 E OAKLAND PARK BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKLAND PARK |
Zip Code Of The Provider |
333344424 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
2722 |
Number Of Medicare Beneficiaries |
381 |
Total Submitted Charge Amount |
190350 |
Total Medicare Allowed Amount |
151763.81 |
Total Medicare Payment Amount |
104068.36 |
Total Medicare Standardized Payment Amount |
99407.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
153 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
6450 |
Total Drug Medicare AllowedAmount |
2857.01 |
Total Drug Medicare PaymentAmount |
2741.53 |
Total Drug Medicare Standardized Payment Amount |
2741.53 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2569 |
Number Of Medicare Beneficiaries With Medical Services |
381 |
Total Medical Submitted Charge Amount |
183900 |
Total Medical Medicare Allowed Amount |
148906.8 |
Total Medical Medicare Payment Amount |
101326.83 |
Total Medical Medicare Standardized Payment Amount |
96665.85 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
14 |
Number Of Beneficiaries Age 65 to 74 |
223 |
Number Of Beneficiaries Age 75 to 84 |
94 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
198 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
356 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
18 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
56 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8124 |