National Provider Identifier [NPI]: |
1376547299 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
DENNIS |
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 |
168 N BRENT ST |
Street Address 2 Of The Provider |
STE 503 |
City Of The Provider |
VENTURA |
Zip Code Of The Provider |
930032840 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
4564 |
Number Of Medicare Beneficiaries |
1214 |
Total Submitted Charge Amount |
1113248.73 |
Total Medicare Allowed Amount |
364579.04 |
Total Medicare Payment Amount |
265155.55 |
Total Medicare Standardized Payment Amount |
242836.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
988.95 |
Total Drug Medicare AllowedAmount |
443.16 |
Total Drug Medicare PaymentAmount |
434.24 |
Total Drug Medicare Standardized Payment Amount |
434.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
4535 |
Number Of Medicare Beneficiaries With Medical Services |
1214 |
Total Medical Submitted Charge Amount |
1112259.78 |
Total Medical Medicare Allowed Amount |
364135.88 |
Total Medical Medicare Payment Amount |
264721.31 |
Total Medical Medicare Standardized Payment Amount |
242402.3 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
561 |
Number Of Male Beneficiaries |
653 |
Number Of Non Hispanic White Beneficiaries |
967 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
24 |
Number Of Hispanic Beneficiaries |
188 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
1043 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
171 |
Percent Of With Atrial Fibrillation |
43 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5552 |