National Provider Identifier [NPI]: |
1760485122 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9105 FRANKLIN SQUARE DR |
Street Address 2 Of The Provider |
STE 209 |
City Of The Provider |
BALTIMORE |
Zip Code Of The Provider |
212373958 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
7206 |
Number Of Medicare Beneficiaries |
2560 |
Total Submitted Charge Amount |
1184290 |
Total Medicare Allowed Amount |
541428.84 |
Total Medicare Payment Amount |
410063.71 |
Total Medicare Standardized Payment Amount |
390321.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
771 |
Number Of Medicare Beneficiaries With Drug Services |
195 |
Total Drug Submitted ChargeAmount |
80955 |
Total Drug Medicare AllowedAmount |
40815.43 |
Total Drug Medicare PaymentAmount |
31269.58 |
Total Drug Medicare Standardized Payment Amount |
31269.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
6435 |
Number Of Medicare Beneficiaries With Medical Services |
2559 |
Total Medical Submitted Charge Amount |
1103335 |
Total Medical Medicare Allowed Amount |
500613.41 |
Total Medical Medicare Payment Amount |
378794.13 |
Total Medical Medicare Standardized Payment Amount |
359051.54 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
390 |
Number Of Beneficiaries Age 65 to 74 |
811 |
Number Of Beneficiaries Age 75 to 84 |
832 |
Number Of Beneficiaries Age Greater 84 |
527 |
Number Of Female Beneficiaries |
1409 |
Number Of Male Beneficiaries |
1151 |
Number Of Non Hispanic White Beneficiaries |
2234 |
Number Of Black or African American Beneficiaries |
243 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
2146 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
414 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
1.9786 |