Medicare Facts for Dr. Brennen D. Smith, DO


National Provider Identifier [NPI]: 1376753277
Last Name Of The Provider SMITH
First Name Of The Provider BRENNEN
Middle Initial Of The Provider D
Credentials Of The Provider D.O.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2221 TIMBER TRL
Street Address 2 Of The Provider
City Of The Provider BELLEFONTAINE
Zip Code Of The Provider 433119036
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 72
Number Of Services 662
Number Of Medicare Beneficiaries 260
Total Submitted Charge Amount 493062.3
Total Medicare Allowed Amount 107350.14
Total Medicare Payment Amount 81633.89
Total Medicare Standardized Payment Amount 81636.7
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 135
Number Of Medicare Beneficiaries With Drug Services 20
Total Drug Submitted ChargeAmount 696
Total Drug Medicare AllowedAmount 124.4
Total Drug Medicare PaymentAmount 97.66
Total Drug Medicare Standardized Payment Amount 97.66
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 527
Number Of Medicare Beneficiaries With Medical Services 260
Total Medical Submitted Charge Amount 492366.3
Total Medical Medicare Allowed Amount 107225.74
Total Medical Medicare Payment Amount 81536.23
Total Medical Medicare Standardized Payment Amount 81539.04
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 78
Number Of Beneficiaries Age 65 to 74 89
Number Of Beneficiaries Age 75 to 84 70
Number Of Beneficiaries Age Greater 84 23
Number Of Female Beneficiaries 153
Number Of Male Beneficiaries 107
Number Of Non Hispanic White Beneficiaries
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 158
Number Of Beneficiaries With Medicare Medicaid Entitlement 102
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 10
Percent Of With Cancer 9
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 32
Percent Of With Depression 46
Percent Of With Diabetes 38
Percent Of With Hyperlipidemia 70
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2705

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