National Provider Identifier [NPI]: |
1124029772 |
Last Name Of The Provider |
BRIER |
First Name Of The Provider |
JONATHAN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1952 WHITNEY AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HAMDEN |
Zip Code Of The Provider |
065171209 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
5856 |
Number Of Medicare Beneficiaries |
981 |
Total Submitted Charge Amount |
1446268.68 |
Total Medicare Allowed Amount |
593649.69 |
Total Medicare Payment Amount |
452831.22 |
Total Medicare Standardized Payment Amount |
426549.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
1323 |
Number Of Medicare Beneficiaries With Drug Services |
322 |
Total Drug Submitted ChargeAmount |
60672 |
Total Drug Medicare AllowedAmount |
49034.85 |
Total Drug Medicare PaymentAmount |
38283.12 |
Total Drug Medicare Standardized Payment Amount |
38283.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
4533 |
Number Of Medicare Beneficiaries With Medical Services |
981 |
Total Medical Submitted Charge Amount |
1385596.68 |
Total Medical Medicare Allowed Amount |
544614.84 |
Total Medical Medicare Payment Amount |
414548.1 |
Total Medical Medicare Standardized Payment Amount |
388266.05 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
38 |
Number Of Beneficiaries Age 65 to 74 |
326 |
Number Of Beneficiaries Age 75 to 84 |
375 |
Number Of Beneficiaries Age Greater 84 |
242 |
Number Of Female Beneficiaries |
494 |
Number Of Male Beneficiaries |
487 |
Number Of Non Hispanic White Beneficiaries |
872 |
Number Of Black or African American Beneficiaries |
76 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
805 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
176 |
Percent Of With Atrial Fibrillation |
34 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
32 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4906 |