National Provider Identifier [NPI]: |
1477592681 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8851 CENTER DR |
Street Address 2 Of The Provider |
SUITE 208 |
City Of The Provider |
LA MESA |
Zip Code Of The Provider |
919423017 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
8818 |
Number Of Medicare Beneficiaries |
958 |
Total Submitted Charge Amount |
1041900.52 |
Total Medicare Allowed Amount |
500278.31 |
Total Medicare Payment Amount |
381776.08 |
Total Medicare Standardized Payment Amount |
373440.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
3142 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
206234 |
Total Drug Medicare AllowedAmount |
96765.98 |
Total Drug Medicare PaymentAmount |
75793.19 |
Total Drug Medicare Standardized Payment Amount |
75793.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
5676 |
Number Of Medicare Beneficiaries With Medical Services |
958 |
Total Medical Submitted Charge Amount |
835666.52 |
Total Medical Medicare Allowed Amount |
403512.33 |
Total Medical Medicare Payment Amount |
305982.89 |
Total Medical Medicare Standardized Payment Amount |
297647.15 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
345 |
Number Of Beneficiaries Age 75 to 84 |
366 |
Number Of Beneficiaries Age Greater 84 |
178 |
Number Of Female Beneficiaries |
260 |
Number Of Male Beneficiaries |
698 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
41 |
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
785 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
173 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.4888 |