National Provider Identifier [NPI]: |
1013939834 |
Last Name Of The Provider |
BRASSLOFF |
First Name Of The Provider |
IRA |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1552 PALM BEACH LAKES BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
WEST PALM BEACH |
Zip Code Of The Provider |
334012302 |
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 |
134 |
Number Of Services |
24671 |
Number Of Medicare Beneficiaries |
1055 |
Total Submitted Charge Amount |
884696.71 |
Total Medicare Allowed Amount |
826777.7 |
Total Medicare Payment Amount |
684860.21 |
Total Medicare Standardized Payment Amount |
657863.76 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
3355 |
Number Of Medicare Beneficiaries With Drug Services |
544 |
Total Drug Submitted ChargeAmount |
84142.64 |
Total Drug Medicare AllowedAmount |
80301.85 |
Total Drug Medicare PaymentAmount |
71757.38 |
Total Drug Medicare Standardized Payment Amount |
71757.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
21316 |
Number Of Medicare Beneficiaries With Medical Services |
1055 |
Total Medical Submitted Charge Amount |
800554.07 |
Total Medical Medicare Allowed Amount |
746475.85 |
Total Medical Medicare Payment Amount |
613102.83 |
Total Medical Medicare Standardized Payment Amount |
586106.38 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
358 |
Number Of Beneficiaries Age 75 to 84 |
401 |
Number Of Beneficiaries Age Greater 84 |
260 |
Number Of Female Beneficiaries |
614 |
Number Of Male Beneficiaries |
441 |
Number Of Non Hispanic White Beneficiaries |
969 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
967 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
88 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2894 |