Medicare Facts for Dr. Paul S. Berger, MD


National Provider Identifier [NPI]: 1952308538
Last Name Of The Provider BERGER
First Name Of The Provider PAUL
Middle Initial Of The Provider S
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 283 COMMACK ROAD
Street Address 2 Of The Provider
City Of The Provider COMMACK
Zip Code Of The Provider 11725
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 43
Number Of Services 2981
Number Of Medicare Beneficiaries 544
Total Submitted Charge Amount 335695
Total Medicare Allowed Amount 218284.78
Total Medicare Payment Amount 159592.62
Total Medicare Standardized Payment Amount 140179
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 215
Number Of Medicare Beneficiaries With Drug Services 203
Total Drug Submitted ChargeAmount 10865
Total Drug Medicare AllowedAmount 7041.12
Total Drug Medicare PaymentAmount 6841.79
Total Drug Medicare Standardized Payment Amount 6841.79
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 36
Number Of Medical Services 2766
Number Of Medicare Beneficiaries With Medical Services 544
Total Medical Submitted Charge Amount 324830
Total Medical Medicare Allowed Amount 211243.66
Total Medical Medicare Payment Amount 152750.83
Total Medical Medicare Standardized Payment Amount 133337.21
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 58
Number Of Beneficiaries Age 65 to 74 233
Number Of Beneficiaries Age 75 to 84 188
Number Of Beneficiaries Age Greater 84 65
Number Of Female Beneficiaries 298
Number Of Male Beneficiaries 246
Number Of Non Hispanic White Beneficiaries 504
Number Of Black or African American Beneficiaries 11
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
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 500
Number Of Beneficiaries With Medicare Medicaid Entitlement 44
Percent Of With Atrial Fibrillation 14
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 15
Percent Of With Chronic Kidney Disease 16
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 10
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 72
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 38
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 33
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.0657

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