National Provider Identifier [NPI]: |
1881668598 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
555 N DUKE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176022250 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
7203 |
Number Of Medicare Beneficiaries |
3015 |
Total Submitted Charge Amount |
700309.33 |
Total Medicare Allowed Amount |
190639.79 |
Total Medicare Payment Amount |
144550.59 |
Total Medicare Standardized Payment Amount |
152512.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3061 |
Number Of Medicare Beneficiaries With Drug Services |
88 |
Total Drug Submitted ChargeAmount |
2653.33 |
Total Drug Medicare AllowedAmount |
2146.91 |
Total Drug Medicare PaymentAmount |
1657.23 |
Total Drug Medicare Standardized Payment Amount |
1657.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
185 |
Number Of Medical Services |
4142 |
Number Of Medicare Beneficiaries With Medical Services |
3015 |
Total Medical Submitted Charge Amount |
697656 |
Total Medical Medicare Allowed Amount |
188492.88 |
Total Medical Medicare Payment Amount |
142893.36 |
Total Medical Medicare Standardized Payment Amount |
150855 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
439 |
Number Of Beneficiaries Age 65 to 74 |
873 |
Number Of Beneficiaries Age 75 to 84 |
999 |
Number Of Beneficiaries Age Greater 84 |
704 |
Number Of Female Beneficiaries |
1622 |
Number Of Male Beneficiaries |
1393 |
Number Of Non Hispanic White Beneficiaries |
2742 |
Number Of Black or African American Beneficiaries |
75 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
147 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
2513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
502 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.6012 |