Medicare Facts for Dr. Nina R. Birnbaum, MD


National Provider Identifier [NPI]: 1063520690
Last Name Of The Provider BIRNBAUM
First Name Of The Provider NINA
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 500 SAN PABLO AVE
Street Address 2 Of The Provider SUITE 300
City Of The Provider ALBANY
Zip Code Of The Provider 947061127
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 893
Number Of Medicare Beneficiaries 307
Total Submitted Charge Amount 179878
Total Medicare Allowed Amount 65522.74
Total Medicare Payment Amount 45005.13
Total Medicare Standardized Payment Amount 39907.37
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 13
Number Of Drug Services 131
Number Of Medicare Beneficiaries With Drug Services 88
Total Drug Submitted ChargeAmount 5076
Total Drug Medicare AllowedAmount 2317.48
Total Drug Medicare PaymentAmount 2195.91
Total Drug Medicare Standardized Payment Amount 2195.91
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 29
Number Of Medical Services 762
Number Of Medicare Beneficiaries With Medical Services 306
Total Medical Submitted Charge Amount 174802
Total Medical Medicare Allowed Amount 63205.26
Total Medical Medicare Payment Amount 42809.22
Total Medical Medicare Standardized Payment Amount 37711.46
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 168
Number Of Beneficiaries Age 75 to 84 71
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 225
Number Of Male Beneficiaries 82
Number Of Non Hispanic White Beneficiaries 218
Number Of Black or African American Beneficiaries 32
Number Of AsianPacific Islander Beneficiaries 32
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 11
Number Of Beneficiaries With Medicare Only Entitlement 273
Number Of Beneficiaries With Medicare Medicaid Entitlement 34
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 7
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 6
Percent Of With Depression 21
Percent Of With Diabetes 19
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 38
Percent Of With Ischemic Heart Disease 12
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 28
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8395

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