National Provider Identifier [NPI]: |
1104870443 |
Last Name Of The Provider |
BERNSTEIN |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9825 KENWOOD RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BLUE ASH |
Zip Code Of The Provider |
452426251 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
226 |
Number Of Services |
3134 |
Number Of Medicare Beneficiaries |
1960 |
Total Submitted Charge Amount |
453699 |
Total Medicare Allowed Amount |
133234.96 |
Total Medicare Payment Amount |
101214.44 |
Total Medicare Standardized Payment Amount |
104000.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
226 |
Number Of Medical Services |
3134 |
Number Of Medicare Beneficiaries With Medical Services |
1960 |
Total Medical Submitted Charge Amount |
453699 |
Total Medical Medicare Allowed Amount |
133234.96 |
Total Medical Medicare Payment Amount |
101214.44 |
Total Medical Medicare Standardized Payment Amount |
104000.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
437 |
Number Of Beneficiaries Age 65 to 74 |
596 |
Number Of Beneficiaries Age 75 to 84 |
548 |
Number Of Beneficiaries Age Greater 84 |
379 |
Number Of Female Beneficiaries |
1188 |
Number Of Male Beneficiaries |
772 |
Number Of Non Hispanic White Beneficiaries |
1620 |
Number Of Black or African American Beneficiaries |
287 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
24 |
Number Of Beneficiaries With Medicare Only Entitlement |
1418 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
542 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
42 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
2.158 |