National Provider Identifier [NPI]: |
1477594703 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
HAROLD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1230 PARKWAY AVE |
Street Address 2 Of The Provider |
STE 105 |
City Of The Provider |
TRENTON |
Zip Code Of The Provider |
08628 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5395 |
Number Of Medicare Beneficiaries |
729 |
Total Submitted Charge Amount |
636812 |
Total Medicare Allowed Amount |
337842.47 |
Total Medicare Payment Amount |
257651.58 |
Total Medicare Standardized Payment Amount |
243587.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
4499 |
Total Drug Medicare AllowedAmount |
1686.82 |
Total Drug Medicare PaymentAmount |
1647.41 |
Total Drug Medicare Standardized Payment Amount |
1647.41 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5294 |
Number Of Medicare Beneficiaries With Medical Services |
729 |
Total Medical Submitted Charge Amount |
632313 |
Total Medical Medicare Allowed Amount |
336155.65 |
Total Medical Medicare Payment Amount |
256004.17 |
Total Medical Medicare Standardized Payment Amount |
241940.27 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
242 |
Number Of Beneficiaries Age 75 to 84 |
181 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
398 |
Number Of Male Beneficiaries |
331 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
411 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
542 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
187 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.4552 |