National Provider Identifier [NPI]: |
1366495681 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
MARGARET |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1218 S BROADWAY |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405042756 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
4835 |
Number Of Medicare Beneficiaries |
986 |
Total Submitted Charge Amount |
838654.14 |
Total Medicare Allowed Amount |
263840.5 |
Total Medicare Payment Amount |
225982.85 |
Total Medicare Standardized Payment Amount |
249507.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
2107 |
Number Of Medicare Beneficiaries With Drug Services |
103 |
Total Drug Submitted ChargeAmount |
4646.86 |
Total Drug Medicare AllowedAmount |
1955.5 |
Total Drug Medicare PaymentAmount |
1533.12 |
Total Drug Medicare Standardized Payment Amount |
1533.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
2728 |
Number Of Medicare Beneficiaries With Medical Services |
986 |
Total Medical Submitted Charge Amount |
834007.28 |
Total Medical Medicare Allowed Amount |
261885 |
Total Medical Medicare Payment Amount |
224449.73 |
Total Medical Medicare Standardized Payment Amount |
247974.71 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
91 |
Number Of Beneficiaries Age 65 to 74 |
625 |
Number Of Beneficiaries Age 75 to 84 |
236 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
|
Number Of Male Beneficiaries |
|
Number Of Non Hispanic White Beneficiaries |
958 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
904 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
4 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
8 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
15 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
0.7594 |