National Provider Identifier [NPI]: |
1386647956 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
619 W DIXIE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347482602 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
3676 |
Number Of Medicare Beneficiaries |
862 |
Total Submitted Charge Amount |
444375 |
Total Medicare Allowed Amount |
325411.5 |
Total Medicare Payment Amount |
237982.45 |
Total Medicare Standardized Payment Amount |
240146.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
133 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
4765 |
Total Drug Medicare AllowedAmount |
2290.19 |
Total Drug Medicare PaymentAmount |
2160.43 |
Total Drug Medicare Standardized Payment Amount |
2160.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
3543 |
Number Of Medicare Beneficiaries With Medical Services |
862 |
Total Medical Submitted Charge Amount |
439610 |
Total Medical Medicare Allowed Amount |
323121.31 |
Total Medical Medicare Payment Amount |
235822.02 |
Total Medical Medicare Standardized Payment Amount |
237985.99 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
352 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
91 |
Number Of Female Beneficiaries |
429 |
Number Of Male Beneficiaries |
433 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
839 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
23 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9949 |