National Provider Identifier [NPI]: |
1457446684 |
Last Name Of The Provider |
BERMAN |
First Name Of The Provider |
BRETT |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9834 GENESEE AVE |
Street Address 2 Of The Provider |
SUITE 125 |
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920371223 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
6760 |
Number Of Medicare Beneficiaries |
1060 |
Total Submitted Charge Amount |
1450392.25 |
Total Medicare Allowed Amount |
668954.07 |
Total Medicare Payment Amount |
508944.4 |
Total Medicare Standardized Payment Amount |
491571.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
918 |
Number Of Medicare Beneficiaries With Drug Services |
187 |
Total Drug Submitted ChargeAmount |
45090 |
Total Drug Medicare AllowedAmount |
28709.92 |
Total Drug Medicare PaymentAmount |
22458.82 |
Total Drug Medicare Standardized Payment Amount |
22458.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
84 |
Number Of Medical Services |
5842 |
Number Of Medicare Beneficiaries With Medical Services |
1060 |
Total Medical Submitted Charge Amount |
1405302.25 |
Total Medical Medicare Allowed Amount |
640244.15 |
Total Medical Medicare Payment Amount |
486485.58 |
Total Medical Medicare Standardized Payment Amount |
469112.99 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
145 |
Number Of Beneficiaries Age 65 to 74 |
332 |
Number Of Beneficiaries Age 75 to 84 |
340 |
Number Of Beneficiaries Age Greater 84 |
243 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
525 |
Number Of Non Hispanic White Beneficiaries |
344 |
Number Of Black or African American Beneficiaries |
52 |
Number Of AsianPacific Islander Beneficiaries |
74 |
Number Of Hispanic Beneficiaries |
564 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
666 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
65 |
Percent Of With Chronic Kidney Disease |
49 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.5087 |