National Provider Identifier [NPI]: |
1518932953 |
Last Name Of The Provider |
BRINT |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11140 W COLONIAL DR |
Street Address 2 Of The Provider |
STE 2 |
City Of The Provider |
OCOEE |
Zip Code Of The Provider |
347613300 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
14249 |
Number Of Medicare Beneficiaries |
1014 |
Total Submitted Charge Amount |
1076543.14 |
Total Medicare Allowed Amount |
610852 |
Total Medicare Payment Amount |
457750.12 |
Total Medicare Standardized Payment Amount |
446567.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
10900 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
347389.2 |
Total Drug Medicare AllowedAmount |
274793.27 |
Total Drug Medicare PaymentAmount |
205736.26 |
Total Drug Medicare Standardized Payment Amount |
205736.26 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3349 |
Number Of Medicare Beneficiaries With Medical Services |
1014 |
Total Medical Submitted Charge Amount |
729153.94 |
Total Medical Medicare Allowed Amount |
336058.73 |
Total Medical Medicare Payment Amount |
252013.86 |
Total Medical Medicare Standardized Payment Amount |
240831.01 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
109 |
Number Of Beneficiaries Age 65 to 74 |
459 |
Number Of Beneficiaries Age 75 to 84 |
339 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
635 |
Number Of Male Beneficiaries |
379 |
Number Of Non Hispanic White Beneficiaries |
842 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
46 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
874 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.4695 |