National Provider Identifier [NPI]: |
1679537047 |
Last Name Of The Provider |
BRAUN |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 PATEWOOD DR |
Street Address 2 Of The Provider |
SUITE C100 |
City Of The Provider |
GREENVILLE |
Zip Code Of The Provider |
296153593 |
State Code Of The Provider |
SC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
2454 |
Number Of Medicare Beneficiaries |
774 |
Total Submitted Charge Amount |
395567.8 |
Total Medicare Allowed Amount |
162654.65 |
Total Medicare Payment Amount |
116051.79 |
Total Medicare Standardized Payment Amount |
127832.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
66 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
548.8 |
Total Drug Medicare AllowedAmount |
209 |
Total Drug Medicare PaymentAmount |
163.83 |
Total Drug Medicare Standardized Payment Amount |
163.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
54 |
Number Of Medical Services |
2388 |
Number Of Medicare Beneficiaries With Medical Services |
774 |
Total Medical Submitted Charge Amount |
395019 |
Total Medical Medicare Allowed Amount |
162445.65 |
Total Medical Medicare Payment Amount |
115887.96 |
Total Medical Medicare Standardized Payment Amount |
127668.73 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
118 |
Number Of Beneficiaries Age 65 to 74 |
378 |
Number Of Beneficiaries Age 75 to 84 |
182 |
Number Of Beneficiaries Age Greater 84 |
96 |
Number Of Female Beneficiaries |
478 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
647 |
Number Of Black or African American Beneficiaries |
106 |
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 |
674 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4703 |