National Provider Identifier [NPI]: |
1043324429 |
Last Name Of The Provider |
BERKOWER |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 SW 129TH AVE |
Street Address 2 Of The Provider |
SUITE 305 |
City Of The Provider |
PEMBROKE PINES |
Zip Code Of The Provider |
330271761 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
3101 |
Number Of Medicare Beneficiaries |
280 |
Total Submitted Charge Amount |
1114810.15 |
Total Medicare Allowed Amount |
214599.23 |
Total Medicare Payment Amount |
162696.02 |
Total Medicare Standardized Payment Amount |
155029.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1269 |
Number Of Medicare Beneficiaries With Drug Services |
202 |
Total Drug Submitted ChargeAmount |
58156 |
Total Drug Medicare AllowedAmount |
2971.72 |
Total Drug Medicare PaymentAmount |
2323.99 |
Total Drug Medicare Standardized Payment Amount |
2323.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
1832 |
Number Of Medicare Beneficiaries With Medical Services |
279 |
Total Medical Submitted Charge Amount |
1056654.15 |
Total Medical Medicare Allowed Amount |
211627.51 |
Total Medical Medicare Payment Amount |
160372.03 |
Total Medical Medicare Standardized Payment Amount |
152705.2 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
108 |
Number Of Non Hispanic White Beneficiaries |
214 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
214 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
66 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4526 |