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Dr. Derald E Brackmann

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NPI Number Detailed Information

Provider Information:

Name: Dr. Derald E Brackmann
Gender: M
Provider License Number If Given: G11124

NPI Information:

NPI: 1508876699
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 8/9/2006

Last Update Date: 9/3/2013

Reputation Report:

Provider Business Mailing Address:

Address: 2100 W 3RD ST STE 111
Los Angeles, CA 90057
Phone Number: 2134839930
Fax Number: 2134830905

Provider Business Practice Location Address:

Address: 2100 W 3RD ST STE 111
Los Angeles, CA 90057
Phone Number: 2134839930
Fax Number: 2134830905

Provider Taxonomy:

Primary: 207YX0901X
Secondary (if any):
State: CA

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About Dr. Derald E Brackmann

Dr. Derald E Brackmann (DR. DERALD E BRACKMANN ) is An Otolaryngology Physician in Los Angeles, CA. The NPI Number for Dr. Derald E Brackmann is 1508876699.
The current location address for Dr. Derald E Brackmann is 2100 W 3RD ST STE 111 Los Angeles, CA 90057 and the contact number is 2134839930 and fax number is 2134830905. The mailing address for Dr. Derald E Brackmann is 2100 W 3RD ST STE 111 Los Angeles, CA 90057- 2134839930 (mailing address contact number - 2134839930).
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Provider Business Location on Map

FAQs:

What is the NPI Number for Dr. Derald E Brackmann ?


Answer: The NPI Number for Dr. Derald E Brackmann is 1508876699

Where is Dr. Derald E Brackmann located?


Answer: Dr. Derald E Brackmann is located at 2100 W 3RD ST STE 111 Los Angeles, CA 90057.

What is the specialty for Dr. Derald E Brackmann ?


Answer: The Specialty of Dr. Derald E Brackmann is An Otolaryngology Physician.

Are there any online reviews for Dr. Derald E Brackmann ?


Answer: Yes! Check It Now.

Are there any other health care providers in Los Angeles, CA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Dr. Derald E Brackmann

Number of HCPCS 17
Number of Medicare Beneficiaries 454
Number of Services 765
Total Submitted Charge Amount 198408
Total Medicare Allowed Amount 83769.36
Total Medicare Payment Amount 60912.74
Total Medicare Standardized Payment Amount 54325.32
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 17
Number of Medicare Beneficiaries With Medical 454
Number of Medical Services 765
Total Medical Submitted Charge Amount 198408
Total Medical Medicare Allowed Amount 83769.36
Total Medical Medicare Payment Amount 60912.74
Total Medical Medicare Standardized Payment Amount 54325.32
Average Age of Beneficiaries 76
Number of Beneficiaries Age Less 65 18
Number of Beneficiaries Age 65 to 74 210
Number of Beneficiaries Age 75 to 84 157
Number of Beneficiaries Age Greater 84 69
Number of Female Beneficiaries 218
Number of Male Beneficiaries 236
Number of Non-Hispanic White Beneficiaries 342
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries 50
Number of Hispanic Beneficiaries 32
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 58
Number of Beneficiaries With Medicare Only Entitlement 396
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.09
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.09
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.13
Percent (%) of Beneficiaries Identified With Heart Failure 0.15
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.23
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.06
Percent (%) of Beneficiaries Identified With Depression 0.16
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.63
Percent (%) of Beneficiaries Identified With Hypertension 0.57
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.41
Percent (%) of Beneficiaries Identified With Osteoporosis 0.16
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.46
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke 0.04
Average HCC Risk Score of Beneficiaries 1.0121

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Otolaryngology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 332
Number of Standardized 30-Day Fills 605.83333333
Aggregate Cost Paid for All Claims 13520.57
Number of Day's Supply for All Claims 16954
Number of Medicare Beneficiaries 111
Number of Claims, Including Refills, for Beneficiaries Age 65+ 320
Including Refills, for Beneficiaries Age 65+ 593.83333333
Beneficiaries Age 65+ 12636.71
Number of Day's Supply for All Claims for Beneficaries Age 65+ 16757
Number of Medicare Beneficiaries Age 65+
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 78
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 254
Aggregate Cost Paid for Generic Drugs 7243.2
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 0
Aggregate Cost Paid for Other Drugs 0
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 25
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 2019.63
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 307
Aggregate Cost Paid for Claims Filled by 11500.94
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 41
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 3627.02
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 291
by Low-Income Subsidy 9893.55
Total Claims of Opioid Drugs, Including
Aggregate Cost Paid for Opioid Drugs
Opioid Claims
Opioid_Tot_Clms divided by the Tot_Clms
Total Claims of Long-Acting Opioid Drugs
Aggregate Cost Paid for Long-Acting Opioid
Number of Day's Supply of All Long-Acting
Long-Acting Opioid Claims
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including
Aggregate Cost Paid for Antibiotic Drugs
Antibiotic Claims
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 73.747747748
Number of Beneficiaries Age Less Than 65
Number of Beneficiaries Age 65 to 74
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 61
Number of Male Beneficiaries 50
Number of Non-Hispanic White 78
Number of Black or African American
Number of Asian Pacific Islander 14
Number of Hispanic Beneficiaries
Number of American Indian/Alaskan NativeBeneficiaries
Number of Beneficiaries with Race Not
Only Entitlement 92
Average Hierarchical Condition Category 1.0312073295

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