National Provider Identifier [NPI]: |
1669407680 |
Last Name Of The Provider |
BERGER |
First Name Of The Provider |
DANIEL |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
215 PESETAS LN |
Street Address 2 Of The Provider |
|
City Of The Provider |
SANTA BARBARA |
Zip Code Of The Provider |
931101416 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
5099 |
Number Of Medicare Beneficiaries |
1289 |
Total Submitted Charge Amount |
540472 |
Total Medicare Allowed Amount |
268722.55 |
Total Medicare Payment Amount |
193765.83 |
Total Medicare Standardized Payment Amount |
189392.33 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
1879 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
89026 |
Total Drug Medicare AllowedAmount |
36615.22 |
Total Drug Medicare PaymentAmount |
28714.46 |
Total Drug Medicare Standardized Payment Amount |
28714.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3220 |
Number Of Medicare Beneficiaries With Medical Services |
1288 |
Total Medical Submitted Charge Amount |
451446 |
Total Medical Medicare Allowed Amount |
232107.33 |
Total Medical Medicare Payment Amount |
165051.37 |
Total Medical Medicare Standardized Payment Amount |
160677.87 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
124 |
Number Of Beneficiaries Age 65 to 74 |
644 |
Number Of Beneficiaries Age 75 to 84 |
394 |
Number Of Beneficiaries Age Greater 84 |
127 |
Number Of Female Beneficiaries |
859 |
Number Of Male Beneficiaries |
430 |
Number Of Non Hispanic White Beneficiaries |
988 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
30 |
Number Of Hispanic Beneficiaries |
206 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
32 |
Number Of Beneficiaries With Medicare Only Entitlement |
1141 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
148 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.24 |