National Provider Identifier [NPI]: |
1700853215 |
Last Name Of The Provider |
BRINZ |
First Name Of The Provider |
LAURA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3939 HOUMA BLVD |
Street Address 2 Of The Provider |
SUITE 6 |
City Of The Provider |
METAIRIE |
Zip Code Of The Provider |
700062931 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
104 |
Number Of Services |
84059 |
Number Of Medicare Beneficiaries |
364 |
Total Submitted Charge Amount |
2285292 |
Total Medicare Allowed Amount |
1153293.9 |
Total Medicare Payment Amount |
895277.77 |
Total Medicare Standardized Payment Amount |
889565.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
59 |
Number Of Drug Services |
79534 |
Number Of Medicare Beneficiaries With Drug Services |
74 |
Total Drug Submitted ChargeAmount |
1843637 |
Total Drug Medicare AllowedAmount |
940162.03 |
Total Drug Medicare PaymentAmount |
731250.88 |
Total Drug Medicare Standardized Payment Amount |
731250.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
4525 |
Number Of Medicare Beneficiaries With Medical Services |
364 |
Total Medical Submitted Charge Amount |
441655 |
Total Medical Medicare Allowed Amount |
213131.87 |
Total Medical Medicare Payment Amount |
164026.89 |
Total Medical Medicare Standardized Payment Amount |
158314.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
164 |
Number Of Beneficiaries Age 75 to 84 |
108 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
263 |
Number Of Male Beneficiaries |
101 |
Number Of Non Hispanic White Beneficiaries |
310 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
336 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
56 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9199 |