National Provider Identifier [NPI]: |
1184693376 |
Last Name Of The Provider |
BRAZIL |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
131 RALEY BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHICO |
Zip Code Of The Provider |
959288347 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
3131 |
Number Of Medicare Beneficiaries |
540 |
Total Submitted Charge Amount |
1298534.51 |
Total Medicare Allowed Amount |
325970.37 |
Total Medicare Payment Amount |
245381.66 |
Total Medicare Standardized Payment Amount |
240894.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
930 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
22626.6 |
Total Drug Medicare AllowedAmount |
11787.72 |
Total Drug Medicare PaymentAmount |
9179.68 |
Total Drug Medicare Standardized Payment Amount |
9179.68 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
2201 |
Number Of Medicare Beneficiaries With Medical Services |
540 |
Total Medical Submitted Charge Amount |
1275907.91 |
Total Medical Medicare Allowed Amount |
314182.65 |
Total Medical Medicare Payment Amount |
236201.98 |
Total Medical Medicare Standardized Payment Amount |
231714.47 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
53 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
316 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
502 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
500 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
40 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
61 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.914 |