National Provider Identifier [NPI]: |
1528123908 |
Last Name Of The Provider |
BREUER |
First Name Of The Provider |
NICOLAS |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
660 GLADES RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334316465 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
25116 |
Number Of Medicare Beneficiaries |
1028 |
Total Submitted Charge Amount |
1085355 |
Total Medicare Allowed Amount |
938879.76 |
Total Medicare Payment Amount |
766370.81 |
Total Medicare Standardized Payment Amount |
733296.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
367 |
Number Of Medicare Beneficiaries With Drug Services |
348 |
Total Drug Submitted ChargeAmount |
9395 |
Total Drug Medicare AllowedAmount |
8263.57 |
Total Drug Medicare PaymentAmount |
8086.66 |
Total Drug Medicare Standardized Payment Amount |
8086.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
24749 |
Number Of Medicare Beneficiaries With Medical Services |
1028 |
Total Medical Submitted Charge Amount |
1075960 |
Total Medical Medicare Allowed Amount |
930616.19 |
Total Medical Medicare Payment Amount |
758284.15 |
Total Medical Medicare Standardized Payment Amount |
725209.63 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
11 |
Number Of Beneficiaries Age 65 to 74 |
221 |
Number Of Beneficiaries Age 75 to 84 |
459 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
601 |
Number Of Male Beneficiaries |
427 |
Number Of Non Hispanic White Beneficiaries |
987 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1007 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
71 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.2892 |