National Provider Identifier [NPI]: |
1649442740 |
Last Name Of The Provider |
BERGER |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
21097 NE 27TH CT |
Street Address 2 Of The Provider |
SUITE 580 |
City Of The Provider |
AVENTURA |
Zip Code Of The Provider |
331801204 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3112 |
Number Of Medicare Beneficiaries |
923 |
Total Submitted Charge Amount |
781050.66 |
Total Medicare Allowed Amount |
280106.65 |
Total Medicare Payment Amount |
206840.79 |
Total Medicare Standardized Payment Amount |
192742.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
37 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
665.11 |
Total Drug Medicare AllowedAmount |
179.33 |
Total Drug Medicare PaymentAmount |
122.45 |
Total Drug Medicare Standardized Payment Amount |
122.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
3075 |
Number Of Medicare Beneficiaries With Medical Services |
923 |
Total Medical Submitted Charge Amount |
780385.55 |
Total Medical Medicare Allowed Amount |
279927.32 |
Total Medical Medicare Payment Amount |
206718.34 |
Total Medical Medicare Standardized Payment Amount |
192619.76 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
116 |
Number Of Beneficiaries Age 65 to 74 |
222 |
Number Of Beneficiaries Age 75 to 84 |
248 |
Number Of Beneficiaries Age Greater 84 |
337 |
Number Of Female Beneficiaries |
503 |
Number Of Male Beneficiaries |
420 |
Number Of Non Hispanic White Beneficiaries |
618 |
Number Of Black or African American Beneficiaries |
160 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
124 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
537 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
386 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
39 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
39 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
18 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.5829 |