National Provider Identifier [NPI]: |
1215909734 |
Last Name Of The Provider |
BERMAN |
First Name Of The Provider |
GERALD |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1111 DELAFIELD ST |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
WAUKESHA |
Zip Code Of The Provider |
531883417 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
3635 |
Number Of Medicare Beneficiaries |
1891 |
Total Submitted Charge Amount |
170325.82 |
Total Medicare Allowed Amount |
169249.02 |
Total Medicare Payment Amount |
120603.05 |
Total Medicare Standardized Payment Amount |
123986.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
50 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
1359.91 |
Total Drug Medicare AllowedAmount |
1197.66 |
Total Drug Medicare PaymentAmount |
1133.18 |
Total Drug Medicare Standardized Payment Amount |
1133.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
3585 |
Number Of Medicare Beneficiaries With Medical Services |
1891 |
Total Medical Submitted Charge Amount |
168965.91 |
Total Medical Medicare Allowed Amount |
168051.36 |
Total Medical Medicare Payment Amount |
119469.87 |
Total Medical Medicare Standardized Payment Amount |
122853.37 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
181 |
Number Of Beneficiaries Age 65 to 74 |
594 |
Number Of Beneficiaries Age 75 to 84 |
626 |
Number Of Beneficiaries Age Greater 84 |
490 |
Number Of Female Beneficiaries |
1080 |
Number Of Male Beneficiaries |
811 |
Number Of Non Hispanic White Beneficiaries |
1795 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
35 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1606 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
285 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6424 |