National Provider Identifier [NPI]: |
1124210018 |
Last Name Of The Provider |
BROWN |
First Name Of The Provider |
SPENCER |
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 |
2080 CENTURY PARK E STE 1807 |
Street Address 2 Of The Provider |
|
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900672021 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
General Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
63293 |
Number Of Medicare Beneficiaries |
1172 |
Total Submitted Charge Amount |
12784627 |
Total Medicare Allowed Amount |
4155861.54 |
Total Medicare Payment Amount |
3242229.97 |
Total Medicare Standardized Payment Amount |
2861687.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
56005 |
Number Of Medicare Beneficiaries With Drug Services |
404 |
Total Drug Submitted ChargeAmount |
58777 |
Total Drug Medicare AllowedAmount |
11835.89 |
Total Drug Medicare PaymentAmount |
9166.52 |
Total Drug Medicare Standardized Payment Amount |
9166.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
105 |
Number Of Medical Services |
7288 |
Number Of Medicare Beneficiaries With Medical Services |
1170 |
Total Medical Submitted Charge Amount |
12725850 |
Total Medical Medicare Allowed Amount |
4144025.65 |
Total Medical Medicare Payment Amount |
3233063.45 |
Total Medical Medicare Standardized Payment Amount |
2852521.02 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
407 |
Number Of Beneficiaries Age 65 to 74 |
336 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
167 |
Number Of Female Beneficiaries |
613 |
Number Of Male Beneficiaries |
559 |
Number Of Non Hispanic White Beneficiaries |
248 |
Number Of Black or African American Beneficiaries |
538 |
Number Of AsianPacific Islander Beneficiaries |
81 |
Number Of Hispanic Beneficiaries |
293 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
897 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
68 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
5.4999 |