National Provider Identifier [NPI]: |
1275693459 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
REAY |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5730 GLENRIDGE DR NE |
Street Address 2 Of The Provider |
SUITE120 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303286141 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
4242 |
Number Of Medicare Beneficiaries |
1268 |
Total Submitted Charge Amount |
745528.58 |
Total Medicare Allowed Amount |
657629.53 |
Total Medicare Payment Amount |
488294.42 |
Total Medicare Standardized Payment Amount |
489159.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
4242 |
Number Of Medicare Beneficiaries With Medical Services |
1268 |
Total Medical Submitted Charge Amount |
745528.58 |
Total Medical Medicare Allowed Amount |
657629.53 |
Total Medical Medicare Payment Amount |
488294.42 |
Total Medical Medicare Standardized Payment Amount |
489159.73 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
23 |
Number Of Beneficiaries Age 65 to 74 |
483 |
Number Of Beneficiaries Age 75 to 84 |
561 |
Number Of Beneficiaries Age Greater 84 |
201 |
Number Of Female Beneficiaries |
753 |
Number Of Male Beneficiaries |
515 |
Number Of Non Hispanic White Beneficiaries |
1127 |
Number Of Black or African American Beneficiaries |
92 |
Number Of AsianPacific Islander Beneficiaries |
17 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1175 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
93 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9331 |