National Provider Identifier [NPI]: |
1306818612 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
KERRY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
204 N MAGDALEN SQ |
Street Address 2 Of The Provider |
|
City Of The Provider |
ABBEVILLE |
Zip Code Of The Provider |
705104645 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
71 |
Number Of Services |
8055 |
Number Of Medicare Beneficiaries |
1640 |
Total Submitted Charge Amount |
4487426 |
Total Medicare Allowed Amount |
1272891.03 |
Total Medicare Payment Amount |
944587.97 |
Total Medicare Standardized Payment Amount |
995796.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
843 |
Number Of Medicare Beneficiaries With Drug Services |
108 |
Total Drug Submitted ChargeAmount |
1237940 |
Total Drug Medicare AllowedAmount |
457562.68 |
Total Drug Medicare PaymentAmount |
356046.6 |
Total Drug Medicare Standardized Payment Amount |
356046.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
7212 |
Number Of Medicare Beneficiaries With Medical Services |
1640 |
Total Medical Submitted Charge Amount |
3249486 |
Total Medical Medicare Allowed Amount |
815328.35 |
Total Medical Medicare Payment Amount |
588541.37 |
Total Medical Medicare Standardized Payment Amount |
639749.59 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
667 |
Number Of Beneficiaries Age 75 to 84 |
655 |
Number Of Beneficiaries Age Greater 84 |
244 |
Number Of Female Beneficiaries |
970 |
Number Of Male Beneficiaries |
670 |
Number Of Non Hispanic White Beneficiaries |
1474 |
Number Of Black or African American Beneficiaries |
102 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
40 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1429 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
211 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0799 |