National Provider Identifier [NPI]: |
1356309546 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
GARY |
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 |
4060 BUTLER PIKE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
PLYMOUTH MEETING |
Zip Code Of The Provider |
194621560 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
20331 |
Number Of Medicare Beneficiaries |
1350 |
Total Submitted Charge Amount |
12473348.07 |
Total Medicare Allowed Amount |
5201326.41 |
Total Medicare Payment Amount |
4021348.08 |
Total Medicare Standardized Payment Amount |
3966112.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
10127 |
Number Of Medicare Beneficiaries With Drug Services |
487 |
Total Drug Submitted ChargeAmount |
9728121 |
Total Drug Medicare AllowedAmount |
4234579.02 |
Total Drug Medicare PaymentAmount |
3306577.59 |
Total Drug Medicare Standardized Payment Amount |
3306577.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
10204 |
Number Of Medicare Beneficiaries With Medical Services |
1350 |
Total Medical Submitted Charge Amount |
2745227.07 |
Total Medical Medicare Allowed Amount |
966747.39 |
Total Medical Medicare Payment Amount |
714770.49 |
Total Medical Medicare Standardized Payment Amount |
659534.71 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
471 |
Number Of Beneficiaries Age 75 to 84 |
430 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
846 |
Number Of Male Beneficiaries |
504 |
Number Of Non Hispanic White Beneficiaries |
1207 |
Number Of Black or African American Beneficiaries |
72 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1249 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
101 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3956 |