National Provider Identifier [NPI]: |
1245339340 |
Last Name Of The Provider |
BRAZINSKY |
First Name Of The Provider |
SHARI |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6699 ALVARADO RD |
Street Address 2 Of The Provider |
SUITE 2308 |
City Of The Provider |
SAN DIEGO |
Zip Code Of The Provider |
921205241 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
4559 |
Number Of Medicare Beneficiaries |
554 |
Total Submitted Charge Amount |
562963.64 |
Total Medicare Allowed Amount |
355202.57 |
Total Medicare Payment Amount |
267420.34 |
Total Medicare Standardized Payment Amount |
258644.69 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
429 |
Number Of Medicare Beneficiaries With Drug Services |
179 |
Total Drug Submitted ChargeAmount |
16509.64 |
Total Drug Medicare AllowedAmount |
10627.29 |
Total Drug Medicare PaymentAmount |
10042.42 |
Total Drug Medicare Standardized Payment Amount |
10042.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
4130 |
Number Of Medicare Beneficiaries With Medical Services |
554 |
Total Medical Submitted Charge Amount |
546454 |
Total Medical Medicare Allowed Amount |
344575.28 |
Total Medical Medicare Payment Amount |
257377.92 |
Total Medical Medicare Standardized Payment Amount |
248602.27 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
168 |
Number Of Beneficiaries Age 75 to 84 |
221 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
319 |
Number Of Male Beneficiaries |
235 |
Number Of Non Hispanic White Beneficiaries |
442 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
45 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
385 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
51 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
2.5426 |