National Provider Identifier [NPI]: |
1659435071 |
Last Name Of The Provider |
BRECHT |
First Name Of The Provider |
JULIUS |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
300 BIRNIE AVE |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
SPRINGFIELD |
Zip Code Of The Provider |
011071107 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
122 |
Number Of Services |
1416 |
Number Of Medicare Beneficiaries |
434 |
Total Submitted Charge Amount |
683842.5 |
Total Medicare Allowed Amount |
183591.96 |
Total Medicare Payment Amount |
138788.67 |
Total Medicare Standardized Payment Amount |
138161.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
75 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
1144 |
Total Drug Medicare AllowedAmount |
386.33 |
Total Drug Medicare PaymentAmount |
275.19 |
Total Drug Medicare Standardized Payment Amount |
275.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
119 |
Number Of Medical Services |
1341 |
Number Of Medicare Beneficiaries With Medical Services |
434 |
Total Medical Submitted Charge Amount |
682698.5 |
Total Medical Medicare Allowed Amount |
183205.63 |
Total Medical Medicare Payment Amount |
138513.48 |
Total Medical Medicare Standardized Payment Amount |
137885.88 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
92 |
Number Of Beneficiaries Age 65 to 74 |
133 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
306 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
371 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
38 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
278 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
59 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4502 |