National Provider Identifier [NPI]: |
1982685640 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6701 AIRPORT BLVD |
Street Address 2 Of The Provider |
SUITE A107 |
City Of The Provider |
MOBILE |
Zip Code Of The Provider |
366086705 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
11049 |
Number Of Medicare Beneficiaries |
2103 |
Total Submitted Charge Amount |
1887745 |
Total Medicare Allowed Amount |
906189.47 |
Total Medicare Payment Amount |
668886.04 |
Total Medicare Standardized Payment Amount |
734841.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
885 |
Number Of Medicare Beneficiaries With Drug Services |
209 |
Total Drug Submitted ChargeAmount |
59290 |
Total Drug Medicare AllowedAmount |
38216.35 |
Total Drug Medicare PaymentAmount |
29501.82 |
Total Drug Medicare Standardized Payment Amount |
29501.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
73 |
Number Of Medical Services |
10164 |
Number Of Medicare Beneficiaries With Medical Services |
2103 |
Total Medical Submitted Charge Amount |
1828455 |
Total Medical Medicare Allowed Amount |
867973.12 |
Total Medical Medicare Payment Amount |
639384.22 |
Total Medical Medicare Standardized Payment Amount |
705339.41 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
292 |
Number Of Beneficiaries Age 65 to 74 |
818 |
Number Of Beneficiaries Age 75 to 84 |
681 |
Number Of Beneficiaries Age Greater 84 |
312 |
Number Of Female Beneficiaries |
1169 |
Number Of Male Beneficiaries |
934 |
Number Of Non Hispanic White Beneficiaries |
1603 |
Number Of Black or African American Beneficiaries |
475 |
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 |
1734 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
369 |
Percent Of With Atrial Fibrillation |
27 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3002 |