National Provider Identifier [NPI]: |
1013955657 |
Last Name Of The Provider |
FILBRANDT |
First Name Of The Provider |
PHILLIP |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
340 W EAST AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959267238 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
20003 |
Number Of Medicare Beneficiaries |
465 |
Total Submitted Charge Amount |
502505.1 |
Total Medicare Allowed Amount |
317406.29 |
Total Medicare Payment Amount |
241407 |
Total Medicare Standardized Payment Amount |
228847.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17117 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
120910 |
Total Drug Medicare AllowedAmount |
94323.61 |
Total Drug Medicare PaymentAmount |
72502.67 |
Total Drug Medicare Standardized Payment Amount |
72502.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2886 |
Number Of Medicare Beneficiaries With Medical Services |
465 |
Total Medical Submitted Charge Amount |
381595.1 |
Total Medical Medicare Allowed Amount |
223082.68 |
Total Medical Medicare Payment Amount |
168904.33 |
Total Medical Medicare Standardized Payment Amount |
156345.22 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
175 |
Number Of Beneficiaries Age 65 to 74 |
137 |
Number Of Beneficiaries Age 75 to 84 |
102 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
241 |
Number Of Non Hispanic White Beneficiaries |
401 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
276 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
189 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
24 |
Average HCC Risk Score Of Beneficiaries |
1.7267 |