National Provider Identifier [NPI]: |
1043250343 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
ALEXANDER |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
330 WALLER AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405042931 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
43692.8 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
2183905.2 |
Total Medicare Allowed Amount |
1130243.63 |
Total Medicare Payment Amount |
854947 |
Total Medicare Standardized Payment Amount |
868051.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
41591.8 |
Number Of Medicare Beneficiaries With Drug Services |
80 |
Total Drug Submitted ChargeAmount |
1775036.2 |
Total Drug Medicare AllowedAmount |
959600.49 |
Total Drug Medicare PaymentAmount |
733413.63 |
Total Drug Medicare Standardized Payment Amount |
733413.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
2101 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
408869 |
Total Medical Medicare Allowed Amount |
170643.14 |
Total Medical Medicare Payment Amount |
121533.37 |
Total Medical Medicare Standardized Payment Amount |
134638.04 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
186 |
Number Of Beneficiaries Age 75 to 84 |
115 |
Number Of Beneficiaries Age Greater 84 |
14 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
425 |
Number Of Black or African American Beneficiaries |
|
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 |
372 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
72 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1275 |