National Provider Identifier [NPI]: |
1831410679 |
Last Name Of The Provider |
BRENNEN |
First Name Of The Provider |
PETER |
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 |
2002 MEDICAL PKWY |
Street Address 2 Of The Provider |
SUITE 450 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214013046 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
4828 |
Number Of Medicare Beneficiaries |
796 |
Total Submitted Charge Amount |
3732651.04 |
Total Medicare Allowed Amount |
1900917.17 |
Total Medicare Payment Amount |
1450856.55 |
Total Medicare Standardized Payment Amount |
1461975.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
3134 |
Number Of Medicare Beneficiaries With Drug Services |
542 |
Total Drug Submitted ChargeAmount |
2117283.54 |
Total Drug Medicare AllowedAmount |
1647927.81 |
Total Drug Medicare PaymentAmount |
1256945.55 |
Total Drug Medicare Standardized Payment Amount |
1256945.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1694 |
Number Of Medicare Beneficiaries With Medical Services |
793 |
Total Medical Submitted Charge Amount |
1615367.5 |
Total Medical Medicare Allowed Amount |
252989.36 |
Total Medical Medicare Payment Amount |
193911 |
Total Medical Medicare Standardized Payment Amount |
205029.47 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
111 |
Number Of Beneficiaries Age 65 to 74 |
304 |
Number Of Beneficiaries Age 75 to 84 |
240 |
Number Of Beneficiaries Age Greater 84 |
141 |
Number Of Female Beneficiaries |
436 |
Number Of Male Beneficiaries |
360 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
165 |
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 |
662 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
134 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6379 |