National Provider Identifier [NPI]: |
1952308249 |
Last Name Of The Provider |
BRYANT |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
307 COOK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
YORKTOWN |
Zip Code Of The Provider |
236909640 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
120 |
Number Of Services |
6091 |
Number Of Medicare Beneficiaries |
644 |
Total Submitted Charge Amount |
500024 |
Total Medicare Allowed Amount |
247891.96 |
Total Medicare Payment Amount |
199092.32 |
Total Medicare Standardized Payment Amount |
203425.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
286 |
Number Of Medicare Beneficiaries With Drug Services |
235 |
Total Drug Submitted ChargeAmount |
17836 |
Total Drug Medicare AllowedAmount |
10101.61 |
Total Drug Medicare PaymentAmount |
9849.37 |
Total Drug Medicare Standardized Payment Amount |
9849.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
110 |
Number Of Medical Services |
5805 |
Number Of Medicare Beneficiaries With Medical Services |
643 |
Total Medical Submitted Charge Amount |
482188 |
Total Medical Medicare Allowed Amount |
237790.35 |
Total Medical Medicare Payment Amount |
189242.95 |
Total Medical Medicare Standardized Payment Amount |
193576.39 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
333 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
286 |
Number Of Male Beneficiaries |
358 |
Number Of Non Hispanic White Beneficiaries |
608 |
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 |
630 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
8 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
58 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8303 |