National Provider Identifier [NPI]: |
1427231638 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1901 MEDI PARK DR |
Street Address 2 Of The Provider |
SUITE 2050 |
City Of The Provider |
AMARILLO |
Zip Code Of The Provider |
791062110 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
186 |
Number Of Services |
9980 |
Number Of Medicare Beneficiaries |
3957 |
Total Submitted Charge Amount |
1322225.4 |
Total Medicare Allowed Amount |
248024.1 |
Total Medicare Payment Amount |
190312.07 |
Total Medicare Standardized Payment Amount |
203280.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
4180 |
Number Of Medicare Beneficiaries With Drug Services |
70 |
Total Drug Submitted ChargeAmount |
7263.4 |
Total Drug Medicare AllowedAmount |
1966.11 |
Total Drug Medicare PaymentAmount |
1524.64 |
Total Drug Medicare Standardized Payment Amount |
1524.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
182 |
Number Of Medical Services |
5800 |
Number Of Medicare Beneficiaries With Medical Services |
3957 |
Total Medical Submitted Charge Amount |
1314962 |
Total Medical Medicare Allowed Amount |
246057.99 |
Total Medical Medicare Payment Amount |
188787.43 |
Total Medical Medicare Standardized Payment Amount |
201755.72 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
512 |
Number Of Beneficiaries Age 65 to 74 |
1510 |
Number Of Beneficiaries Age 75 to 84 |
1343 |
Number Of Beneficiaries Age Greater 84 |
592 |
Number Of Female Beneficiaries |
2555 |
Number Of Male Beneficiaries |
1402 |
Number Of Non Hispanic White Beneficiaries |
3262 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
19 |
Number Of Hispanic Beneficiaries |
528 |
Number Of American Indian Alaska Native Beneficiaries |
16 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
3104 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
853 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4624 |