Medicare Facts for Adam Berger


National Provider Identifier [NPI]: 1972574408
Last Name Of The Provider BERGER
First Name Of The Provider ADAM
Middle Initial Of The Provider S
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 250 AVENUE K SW
Street Address 2 Of The Provider SUITE 200
City Of The Provider WINTER HAVEN
Zip Code Of The Provider 338803919
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Ophthalmology
Medicare Participation Indicator Y
Number Of HCPCS 41
Number Of Services 12964
Number Of Medicare Beneficiaries 1188
Total Submitted Charge Amount 3048559.77
Total Medicare Allowed Amount 2985215.01
Total Medicare Payment Amount 2295621.38
Total Medicare Standardized Payment Amount 2301939.6
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 3853
Number Of Medicare Beneficiaries With Drug Services 234
Total Drug Submitted ChargeAmount 2123766.35
Total Drug Medicare AllowedAmount 2118303
Total Drug Medicare PaymentAmount 1656088.52
Total Drug Medicare Standardized Payment Amount 1656088.52
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 9111
Number Of Medicare Beneficiaries With Medical Services 1188
Total Medical Submitted Charge Amount 924793.42
Total Medical Medicare Allowed Amount 866912.01
Total Medical Medicare Payment Amount 639532.86
Total Medical Medicare Standardized Payment Amount 645851.08
Average Age Of Beneficiaries 77
Number Of Beneficiaries Age Less65 84
Number Of Beneficiaries Age 65 to 74 382
Number Of Beneficiaries Age 75 to 84 426
Number Of Beneficiaries Age Greater 84 296
Number Of Female Beneficiaries 664
Number Of Male Beneficiaries 524
Number Of Non Hispanic White Beneficiaries 1025
Number Of Black or African American Beneficiaries 61
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 78
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1042
Number Of Beneficiaries With Medicare Medicaid Entitlement 146
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 7
Percent Of With Cancer 12
Percent Of With Heart Failure 22
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 18
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 52
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.5918

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