National Provider Identifier [NPI]: |
1518946664 |
Last Name Of The Provider |
BRANDT |
First Name Of The Provider |
RYAN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2025 SOQUEL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA CRUZ |
Zip Code Of The Provider |
950621323 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
21141 |
Number Of Medicare Beneficiaries |
2618 |
Total Submitted Charge Amount |
3805085 |
Total Medicare Allowed Amount |
1130209.15 |
Total Medicare Payment Amount |
852395.46 |
Total Medicare Standardized Payment Amount |
824025.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
12566 |
Number Of Medicare Beneficiaries With Drug Services |
263 |
Total Drug Submitted ChargeAmount |
125659 |
Total Drug Medicare AllowedAmount |
35709.59 |
Total Drug Medicare PaymentAmount |
27870.12 |
Total Drug Medicare Standardized Payment Amount |
27870.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
8575 |
Number Of Medicare Beneficiaries With Medical Services |
2617 |
Total Medical Submitted Charge Amount |
3679426 |
Total Medical Medicare Allowed Amount |
1094499.56 |
Total Medical Medicare Payment Amount |
824525.34 |
Total Medical Medicare Standardized Payment Amount |
796155.09 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
209 |
Number Of Beneficiaries Age 65 to 74 |
1164 |
Number Of Beneficiaries Age 75 to 84 |
755 |
Number Of Beneficiaries Age Greater 84 |
490 |
Number Of Female Beneficiaries |
1372 |
Number Of Male Beneficiaries |
1246 |
Number Of Non Hispanic White Beneficiaries |
2302 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
54 |
Number Of Hispanic Beneficiaries |
194 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
45 |
Number Of Beneficiaries With Medicare Only Entitlement |
2263 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
355 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1796 |