National Provider Identifier [NPI]: |
1184612186 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2201 E NINE MILE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PENSACOLA |
Zip Code Of The Provider |
325147772 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
4866 |
Number Of Medicare Beneficiaries |
1190 |
Total Submitted Charge Amount |
527065 |
Total Medicare Allowed Amount |
307065.71 |
Total Medicare Payment Amount |
226832.33 |
Total Medicare Standardized Payment Amount |
230281.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
384 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
13800 |
Total Drug Medicare AllowedAmount |
9108.65 |
Total Drug Medicare PaymentAmount |
7135.54 |
Total Drug Medicare Standardized Payment Amount |
7135.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4482 |
Number Of Medicare Beneficiaries With Medical Services |
1190 |
Total Medical Submitted Charge Amount |
513265 |
Total Medical Medicare Allowed Amount |
297957.06 |
Total Medical Medicare Payment Amount |
219696.79 |
Total Medical Medicare Standardized Payment Amount |
223145.67 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
385 |
Number Of Beneficiaries Age Greater 84 |
235 |
Number Of Female Beneficiaries |
732 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
1028 |
Number Of Black or African American Beneficiaries |
126 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
881 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4684 |