| National Provider Identifier [NPI]: | 1881686558 |
| Last Name Of The Provider | BRYAN |
| First Name Of The Provider | JOSEPH |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 7600 N 15TH ST |
| Street Address 2 Of The Provider | SUITE 155 |
| City Of The Provider | PHOENIX |
| Zip Code Of The Provider | 850204327 |
| State Code Of The Provider | AZ |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 54 |
| Number Of Services | 17391 |
| Number Of Medicare Beneficiaries | 1368 |
| Total Submitted Charge Amount | 3195511.15 |
| Total Medicare Allowed Amount | 3125685.7 |
| Total Medicare Payment Amount | 2407467.87 |
| Total Medicare Standardized Payment Amount | 2414311.06 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 3583 |
| Number Of Medicare Beneficiaries With Drug Services | 362 |
| Total Drug Submitted ChargeAmount | 1799668.88 |
| Total Drug Medicare AllowedAmount | 1786777.65 |
| Total Drug Medicare PaymentAmount | 1400539.84 |
| Total Drug Medicare Standardized Payment Amount | 1400539.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 44 |
| Number Of Medical Services | 13808 |
| Number Of Medicare Beneficiaries With Medical Services | 1368 |
| Total Medical Submitted Charge Amount | 1395842.27 |
| Total Medical Medicare Allowed Amount | 1338908.05 |
| Total Medical Medicare Payment Amount | 1006928.03 |
| Total Medical Medicare Standardized Payment Amount | 1013771.22 |
| Average Age Of Beneficiaries | 77 |
| Number Of Beneficiaries Age Less65 | 46 |
| Number Of Beneficiaries Age 65 to 74 | 528 |
| Number Of Beneficiaries Age 75 to 84 | 444 |
| Number Of Beneficiaries Age Greater 84 | 350 |
| Number Of Female Beneficiaries | 786 |
| Number Of Male Beneficiaries | 582 |
| Number Of Non Hispanic White Beneficiaries | 1269 |
| Number Of Black or African American Beneficiaries | 16 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 48 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 21 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1306 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 62 |
| Percent Of With Atrial Fibrillation | 13 |
| Percent Of With Alzheimers Disease or Dementia | 9 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 25 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 11 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 28 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 64 |
| Percent Of With Ischemic Heart Disease | 31 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 35 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 1 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.2952 |