National Provider Identifier [NPI]: |
1861452633 |
Last Name Of The Provider |
BROWNELL |
First Name Of The Provider |
JOHN |
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 |
75 SHORT ST NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
CEDAR RAPIDS |
Zip Code Of The Provider |
524054203 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
2480 |
Number Of Medicare Beneficiaries |
437 |
Total Submitted Charge Amount |
284404 |
Total Medicare Allowed Amount |
145679.49 |
Total Medicare Payment Amount |
98153.53 |
Total Medicare Standardized Payment Amount |
107369.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
240 |
Number Of Medicare Beneficiaries With Drug Services |
153 |
Total Drug Submitted ChargeAmount |
9632 |
Total Drug Medicare AllowedAmount |
6320.93 |
Total Drug Medicare PaymentAmount |
6130.66 |
Total Drug Medicare Standardized Payment Amount |
6130.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2240 |
Number Of Medicare Beneficiaries With Medical Services |
437 |
Total Medical Submitted Charge Amount |
274772 |
Total Medical Medicare Allowed Amount |
139358.56 |
Total Medical Medicare Payment Amount |
92022.87 |
Total Medical Medicare Standardized Payment Amount |
101238.36 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
72 |
Number Of Beneficiaries Age 65 to 74 |
169 |
Number Of Beneficiaries Age 75 to 84 |
124 |
Number Of Beneficiaries Age Greater 84 |
72 |
Number Of Female Beneficiaries |
214 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
424 |
Number Of Black or African American Beneficiaries |
|
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 |
363 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0153 |