National Provider Identifier [NPI]: |
1205949914 |
Last Name Of The Provider |
BROWNLOW |
First Name Of The Provider |
ROY |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1665 HIGHWAY 34 E. |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
NEWNAN |
Zip Code Of The Provider |
302655631 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
97 |
Number Of Services |
27369 |
Number Of Medicare Beneficiaries |
881 |
Total Submitted Charge Amount |
2782348.5 |
Total Medicare Allowed Amount |
914599.35 |
Total Medicare Payment Amount |
757925.42 |
Total Medicare Standardized Payment Amount |
804677.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
294 |
Number Of Medicare Beneficiaries With Drug Services |
44 |
Total Drug Submitted ChargeAmount |
9893.5 |
Total Drug Medicare AllowedAmount |
4245.74 |
Total Drug Medicare PaymentAmount |
3306.65 |
Total Drug Medicare Standardized Payment Amount |
3306.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
27075 |
Number Of Medicare Beneficiaries With Medical Services |
881 |
Total Medical Submitted Charge Amount |
2772455 |
Total Medical Medicare Allowed Amount |
910353.61 |
Total Medical Medicare Payment Amount |
754618.77 |
Total Medical Medicare Standardized Payment Amount |
801370.48 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
366 |
Number Of Beneficiaries Age 65 to 74 |
293 |
Number Of Beneficiaries Age 75 to 84 |
167 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
553 |
Number Of Male Beneficiaries |
328 |
Number Of Non Hispanic White Beneficiaries |
745 |
Number Of Black or African American Beneficiaries |
120 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
639 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
242 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.349 |