National Provider Identifier [NPI]: |
1932195617 |
Last Name Of The Provider |
BRADY |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1812 N MILLS AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
ORLANDO |
Zip Code Of The Provider |
328031854 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
11627 |
Number Of Medicare Beneficiaries |
793 |
Total Submitted Charge Amount |
1406350 |
Total Medicare Allowed Amount |
477271.88 |
Total Medicare Payment Amount |
357811 |
Total Medicare Standardized Payment Amount |
363496.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
7277 |
Number Of Medicare Beneficiaries With Drug Services |
86 |
Total Drug Submitted ChargeAmount |
322690 |
Total Drug Medicare AllowedAmount |
117323.18 |
Total Drug Medicare PaymentAmount |
91003.94 |
Total Drug Medicare Standardized Payment Amount |
91003.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
4350 |
Number Of Medicare Beneficiaries With Medical Services |
793 |
Total Medical Submitted Charge Amount |
1083660 |
Total Medical Medicare Allowed Amount |
359948.7 |
Total Medical Medicare Payment Amount |
266807.06 |
Total Medical Medicare Standardized Payment Amount |
272492.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
353 |
Number Of Beneficiaries Age 75 to 84 |
266 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
96 |
Number Of Male Beneficiaries |
697 |
Number Of Non Hispanic White Beneficiaries |
651 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
725 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
35 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
4 |
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 |
1.4247 |