National Provider Identifier [NPI]: |
1952361123 |
Last Name Of The Provider |
BROOKS |
First Name Of The Provider |
WILLIAM |
Middle Initial Of The Provider |
P |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3741 HOUSTON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
MACON |
Zip Code Of The Provider |
312062415 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
84 |
Number Of Services |
5416 |
Number Of Medicare Beneficiaries |
393 |
Total Submitted Charge Amount |
259773 |
Total Medicare Allowed Amount |
174572.41 |
Total Medicare Payment Amount |
123394.03 |
Total Medicare Standardized Payment Amount |
132528.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
396 |
Number Of Medicare Beneficiaries With Drug Services |
169 |
Total Drug Submitted ChargeAmount |
6755 |
Total Drug Medicare AllowedAmount |
1608.59 |
Total Drug Medicare PaymentAmount |
1245.6 |
Total Drug Medicare Standardized Payment Amount |
1245.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
72 |
Number Of Medical Services |
5020 |
Number Of Medicare Beneficiaries With Medical Services |
392 |
Total Medical Submitted Charge Amount |
253018 |
Total Medical Medicare Allowed Amount |
172963.82 |
Total Medical Medicare Payment Amount |
122148.43 |
Total Medical Medicare Standardized Payment Amount |
131282.44 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
171 |
Number Of Beneficiaries Age 75 to 84 |
77 |
Number Of Beneficiaries Age Greater 84 |
30 |
Number Of Female Beneficiaries |
207 |
Number Of Male Beneficiaries |
186 |
Number Of Non Hispanic White Beneficiaries |
194 |
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 |
209 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1103 |