National Provider Identifier [NPI]: |
1962527663 |
Last Name Of The Provider |
BERGER |
First Name Of The Provider |
RACHEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1625 N GEORGE MASON DR |
Street Address 2 Of The Provider |
#414 |
City Of The Provider |
ARLINGTON |
Zip Code Of The Provider |
222053683 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
3734 |
Number Of Medicare Beneficiaries |
1550 |
Total Submitted Charge Amount |
686340 |
Total Medicare Allowed Amount |
329507.79 |
Total Medicare Payment Amount |
242373.43 |
Total Medicare Standardized Payment Amount |
215309.78 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
192 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
10036 |
Total Drug Medicare AllowedAmount |
9899.63 |
Total Drug Medicare PaymentAmount |
7508.87 |
Total Drug Medicare Standardized Payment Amount |
7508.87 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3542 |
Number Of Medicare Beneficiaries With Medical Services |
1550 |
Total Medical Submitted Charge Amount |
676304 |
Total Medical Medicare Allowed Amount |
319608.16 |
Total Medical Medicare Payment Amount |
234864.56 |
Total Medical Medicare Standardized Payment Amount |
207800.91 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
95 |
Number Of Beneficiaries Age 65 to 74 |
506 |
Number Of Beneficiaries Age 75 to 84 |
539 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
877 |
Number Of Male Beneficiaries |
673 |
Number Of Non Hispanic White Beneficiaries |
1174 |
Number Of Black or African American Beneficiaries |
167 |
Number Of AsianPacific Islander Beneficiaries |
72 |
Number Of Hispanic Beneficiaries |
109 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
223 |
Percent Of With Atrial Fibrillation |
30 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.6142 |