National Provider Identifier [NPI]: |
1306927249 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10000 W COLONIAL DR |
Street Address 2 Of The Provider |
SUITE 187 |
City Of The Provider |
OCOEE |
Zip Code Of The Provider |
347613498 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
7179 |
Number Of Medicare Beneficiaries |
935 |
Total Submitted Charge Amount |
943410 |
Total Medicare Allowed Amount |
602762.09 |
Total Medicare Payment Amount |
445125.81 |
Total Medicare Standardized Payment Amount |
455744.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
312 |
Number Of Medicare Beneficiaries With Drug Services |
234 |
Total Drug Submitted ChargeAmount |
8085 |
Total Drug Medicare AllowedAmount |
3993.67 |
Total Drug Medicare PaymentAmount |
3812.77 |
Total Drug Medicare Standardized Payment Amount |
3812.77 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
6867 |
Number Of Medicare Beneficiaries With Medical Services |
935 |
Total Medical Submitted Charge Amount |
935325 |
Total Medical Medicare Allowed Amount |
598768.42 |
Total Medical Medicare Payment Amount |
441313.04 |
Total Medical Medicare Standardized Payment Amount |
451931.93 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
299 |
Number Of Beneficiaries Age Greater 84 |
106 |
Number Of Female Beneficiaries |
580 |
Number Of Male Beneficiaries |
355 |
Number Of Non Hispanic White Beneficiaries |
759 |
Number Of Black or African American Beneficiaries |
104 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
876 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0932 |