Medicare Facts for Dr. Paul M. Berger, MD


National Provider Identifier [NPI]: 1225027352
Last Name Of The Provider BERGER
First Name Of The Provider PAUL
Middle Initial Of The Provider M
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1240 S CEDAR CREST BLVD
Street Address 2 Of The Provider SUITE 310
City Of The Provider ALLENTOWN
Zip Code Of The Provider 181036263
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 116
Number Of Services 3077
Number Of Medicare Beneficiaries 793
Total Submitted Charge Amount 690247
Total Medicare Allowed Amount 264178.39
Total Medicare Payment Amount 199374.51
Total Medicare Standardized Payment Amount 206503.98
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 134
Number Of Medicare Beneficiaries With Drug Services 31
Total Drug Submitted ChargeAmount 68872
Total Drug Medicare AllowedAmount 20537.06
Total Drug Medicare PaymentAmount 16100.96
Total Drug Medicare Standardized Payment Amount 16100.96
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 108
Number Of Medical Services 2943
Number Of Medicare Beneficiaries With Medical Services 793
Total Medical Submitted Charge Amount 621375
Total Medical Medicare Allowed Amount 243641.33
Total Medical Medicare Payment Amount 183273.55
Total Medical Medicare Standardized Payment Amount 190403.02
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 100
Number Of Beneficiaries Age 65 to 74 289
Number Of Beneficiaries Age 75 to 84 265
Number Of Beneficiaries Age Greater 84 139
Number Of Female Beneficiaries 258
Number Of Male Beneficiaries 535
Number Of Non Hispanic White Beneficiaries 715
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 48
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 671
Number Of Beneficiaries With Medicare Medicaid Entitlement 122
Percent Of With Atrial Fibrillation 20
Percent Of With Alzheimers Disease or Dementia 17
Percent Of With Asthma 9
Percent Of With Cancer 26
Percent Of With Heart Failure 28
Percent Of With Chronic Kidney Disease 46
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 30
Percent Of With Diabetes 39
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 51
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 9
Average HCC Risk Score Of Beneficiaries 1.808

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