National Provider Identifier [NPI]: |
1952377905 |
Last Name Of The Provider |
BREWER |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
900 GORDON AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
THOMASVILLE |
Zip Code Of The Provider |
317926613 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
10447 |
Number Of Medicare Beneficiaries |
1032 |
Total Submitted Charge Amount |
769504 |
Total Medicare Allowed Amount |
332869.02 |
Total Medicare Payment Amount |
248516.18 |
Total Medicare Standardized Payment Amount |
257663.91 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
353 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
10117 |
Total Drug Medicare AllowedAmount |
5856.52 |
Total Drug Medicare PaymentAmount |
5651.11 |
Total Drug Medicare Standardized Payment Amount |
5651.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
10094 |
Number Of Medicare Beneficiaries With Medical Services |
1032 |
Total Medical Submitted Charge Amount |
759387 |
Total Medical Medicare Allowed Amount |
327012.5 |
Total Medical Medicare Payment Amount |
242865.07 |
Total Medical Medicare Standardized Payment Amount |
252012.8 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
161 |
Number Of Beneficiaries Age 65 to 74 |
377 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
194 |
Number Of Female Beneficiaries |
574 |
Number Of Male Beneficiaries |
458 |
Number Of Non Hispanic White Beneficiaries |
840 |
Number Of Black or African American Beneficiaries |
181 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
758 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.652 |