National Provider Identifier [NPI]: |
1952518862 |
Last Name Of The Provider |
BRACE |
First Name Of The Provider |
MATTHEW |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
777 TOWNSHIP LINE ROAD |
Street Address 2 Of The Provider |
STE. 200 |
City Of The Provider |
YARDLEY |
Zip Code Of The Provider |
190675564 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
853 |
Number Of Medicare Beneficiaries |
358 |
Total Submitted Charge Amount |
145210 |
Total Medicare Allowed Amount |
77233.57 |
Total Medicare Payment Amount |
55509.39 |
Total Medicare Standardized Payment Amount |
52719.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
46 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
3547 |
Total Drug Medicare AllowedAmount |
1968.65 |
Total Drug Medicare PaymentAmount |
1895.26 |
Total Drug Medicare Standardized Payment Amount |
1895.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
807 |
Number Of Medicare Beneficiaries With Medical Services |
358 |
Total Medical Submitted Charge Amount |
141663 |
Total Medical Medicare Allowed Amount |
75264.92 |
Total Medical Medicare Payment Amount |
53614.13 |
Total Medical Medicare Standardized Payment Amount |
50824.35 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
176 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
52 |
Number Of Female Beneficiaries |
186 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
333 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
329 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
29 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0744 |