| National Provider Identifier [NPI]: | 1558319145 |
| Last Name Of The Provider | BENGE |
| First Name Of The Provider | BRUCE |
| Middle Initial Of The Provider | N |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 2000 FOULK ROAD |
| Street Address 2 Of The Provider | SUITE F |
| City Of The Provider | WILMINGTON |
| Zip Code Of The Provider | 19810 |
| State Code Of The Provider | DE |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 97 |
| Number Of Services | 5839 |
| Number Of Medicare Beneficiaries | 1696 |
| Total Submitted Charge Amount | 1403743.12 |
| Total Medicare Allowed Amount | 535737.96 |
| Total Medicare Payment Amount | 400014.56 |
| Total Medicare Standardized Payment Amount | 395877.78 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 5 |
| Number Of Drug Services | 2090 |
| Number Of Medicare Beneficiaries With Drug Services | 92 |
| Total Drug Submitted ChargeAmount | 310693.12 |
| Total Drug Medicare AllowedAmount | 102700.61 |
| Total Drug Medicare PaymentAmount | 79788.99 |
| Total Drug Medicare Standardized Payment Amount | 79788.99 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 92 |
| Number Of Medical Services | 3749 |
| Number Of Medicare Beneficiaries With Medical Services | 1696 |
| Total Medical Submitted Charge Amount | 1093050 |
| Total Medical Medicare Allowed Amount | 433037.35 |
| Total Medical Medicare Payment Amount | 320225.57 |
| Total Medical Medicare Standardized Payment Amount | 316088.79 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 147 |
| Number Of Beneficiaries Age 65 to 74 | 686 |
| Number Of Beneficiaries Age 75 to 84 | 596 |
| Number Of Beneficiaries Age Greater 84 | 267 |
| Number Of Female Beneficiaries | 347 |
| Number Of Male Beneficiaries | 1349 |
| Number Of Non Hispanic White Beneficiaries | 1399 |
| Number Of Black or African American Beneficiaries | 213 |
| Number Of AsianPacific Islander Beneficiaries | 18 |
| Number Of Hispanic Beneficiaries | 36 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1514 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 182 |
| Percent Of With Atrial Fibrillation | 17 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 27 |
| Percent Of With Heart Failure | 18 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 20 |
| Percent Of With Diabetes | 36 |
| Percent Of With Hyperlipidemia | 68 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 4 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 39 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 7 |
| Average HCC Risk Score Of Beneficiaries | 1.3285 |