Medicare Facts for Dr. John E. Broom, MD


National Provider Identifier [NPI]: 1568470706
Last Name Of The Provider BROOM
First Name Of The Provider JOHN
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 455 SAINT MICHAELS DR
Street Address 2 Of The Provider
City Of The Provider SANTA FE
Zip Code Of The Provider 875057601
State Code Of The Provider NM
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 15
Number Of Services 1089
Number Of Medicare Beneficiaries 349
Total Submitted Charge Amount 351852
Total Medicare Allowed Amount 106260.67
Total Medicare Payment Amount 81820.87
Total Medicare Standardized Payment Amount 76970.25
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 15
Number Of Medical Services 1089
Number Of Medicare Beneficiaries With Medical Services 349
Total Medical Submitted Charge Amount 351852
Total Medical Medicare Allowed Amount 106260.67
Total Medical Medicare Payment Amount 81820.87
Total Medical Medicare Standardized Payment Amount 76970.25
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 118
Number Of Beneficiaries Age 75 to 84 100
Number Of Beneficiaries Age Greater 84 68
Number Of Female Beneficiaries 177
Number Of Male Beneficiaries 172
Number Of Non Hispanic White Beneficiaries 175
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 146
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 228
Number Of Beneficiaries With Medicare Medicaid Entitlement 121
Percent Of With Atrial Fibrillation 19
Percent Of With Alzheimers Disease or Dementia 22
Percent Of With Asthma 9
Percent Of With Cancer 14
Percent Of With Heart Failure 41
Percent Of With Chronic Kidney Disease 48
Percent Of With Chronic Obstructive Pulmonary Disease 29
Percent Of With Depression 37
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 9
Percent Of With Stroke 16
Average HCC Risk Score Of Beneficiaries 1.9312

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