National Provider Identifier [NPI]: |
1447273727 |
Last Name Of The Provider |
BERNSTEIN |
First Name Of The Provider |
KEITH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
224 S WOODS MILL RD |
Street Address 2 Of The Provider |
SUITE 500 SOUTH |
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
63017 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
50135 |
Number Of Medicare Beneficiaries |
589 |
Total Submitted Charge Amount |
1178001.31 |
Total Medicare Allowed Amount |
1100972.43 |
Total Medicare Payment Amount |
844551.76 |
Total Medicare Standardized Payment Amount |
852736.51 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
44615 |
Number Of Medicare Beneficiaries With Drug Services |
319 |
Total Drug Submitted ChargeAmount |
785840.22 |
Total Drug Medicare AllowedAmount |
742086.36 |
Total Drug Medicare PaymentAmount |
580169.82 |
Total Drug Medicare Standardized Payment Amount |
580169.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
5520 |
Number Of Medicare Beneficiaries With Medical Services |
589 |
Total Medical Submitted Charge Amount |
392161.09 |
Total Medical Medicare Allowed Amount |
358886.07 |
Total Medical Medicare Payment Amount |
264381.94 |
Total Medical Medicare Standardized Payment Amount |
272566.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
46 |
Number Of Beneficiaries Age 65 to 74 |
231 |
Number Of Beneficiaries Age 75 to 84 |
215 |
Number Of Beneficiaries Age Greater 84 |
97 |
Number Of Female Beneficiaries |
366 |
Number Of Male Beneficiaries |
223 |
Number Of Non Hispanic White Beneficiaries |
551 |
Number Of Black or African American Beneficiaries |
21 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
565 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.368 |