National Provider Identifier [NPI]: |
1205824877 |
Last Name Of The Provider |
BREZINA |
First Name Of The Provider |
BARTON |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
820 ST. SEBASTIAN WAY |
Street Address 2 Of The Provider |
SUITE 8A |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309010000 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
32647 |
Number Of Medicare Beneficiaries |
959 |
Total Submitted Charge Amount |
1139177 |
Total Medicare Allowed Amount |
553494.32 |
Total Medicare Payment Amount |
429555.11 |
Total Medicare Standardized Payment Amount |
446393.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
23958 |
Number Of Medicare Beneficiaries With Drug Services |
54 |
Total Drug Submitted ChargeAmount |
139347 |
Total Drug Medicare AllowedAmount |
43134.8 |
Total Drug Medicare PaymentAmount |
32016.46 |
Total Drug Medicare Standardized Payment Amount |
32016.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
8689 |
Number Of Medicare Beneficiaries With Medical Services |
959 |
Total Medical Submitted Charge Amount |
999830 |
Total Medical Medicare Allowed Amount |
510359.52 |
Total Medical Medicare Payment Amount |
397538.65 |
Total Medical Medicare Standardized Payment Amount |
414377.28 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
211 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
121 |
Number Of Female Beneficiaries |
473 |
Number Of Male Beneficiaries |
486 |
Number Of Non Hispanic White Beneficiaries |
603 |
Number Of Black or African American Beneficiaries |
336 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
727 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
232 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
3.212 |