National Provider Identifier [NPI]: |
1134101207 |
Last Name Of The Provider |
BRAUN |
First Name Of The Provider |
IRA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8900 N KENDALL DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIAMI |
Zip Code Of The Provider |
331762118 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
2886 |
Number Of Medicare Beneficiaries |
1650 |
Total Submitted Charge Amount |
1171194 |
Total Medicare Allowed Amount |
148601.08 |
Total Medicare Payment Amount |
112983.54 |
Total Medicare Standardized Payment Amount |
108862.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
742 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
9582 |
Total Drug Medicare AllowedAmount |
789.68 |
Total Drug Medicare PaymentAmount |
619.09 |
Total Drug Medicare Standardized Payment Amount |
619.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2144 |
Number Of Medicare Beneficiaries With Medical Services |
1650 |
Total Medical Submitted Charge Amount |
1161612 |
Total Medical Medicare Allowed Amount |
147811.4 |
Total Medical Medicare Payment Amount |
112364.45 |
Total Medical Medicare Standardized Payment Amount |
108243.9 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
444 |
Number Of Beneficiaries Age 75 to 84 |
525 |
Number Of Beneficiaries Age Greater 84 |
466 |
Number Of Female Beneficiaries |
1069 |
Number Of Male Beneficiaries |
581 |
Number Of Non Hispanic White Beneficiaries |
563 |
Number Of Black or African American Beneficiaries |
97 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
956 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
20 |
Number Of Beneficiaries With Medicare Only Entitlement |
781 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
869 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
40 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
48 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
72 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
21 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
63 |
Percent Of With Schizophrenia Other PsychoticDisorders |
15 |
Percent Of With Stroke |
29 |
Average HCC Risk Score Of Beneficiaries |
2.0749 |