National Provider Identifier [NPI]: |
1861483604 |
Last Name Of The Provider |
BIERLE |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 LILE CT |
Street Address 2 Of The Provider |
SUITE 102B |
City Of The Provider |
LITTLE ROCK |
Zip Code Of The Provider |
722056221 |
State Code Of The Provider |
AR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
6750 |
Number Of Medicare Beneficiaries |
1297 |
Total Submitted Charge Amount |
726008.52 |
Total Medicare Allowed Amount |
564253.64 |
Total Medicare Payment Amount |
429308.57 |
Total Medicare Standardized Payment Amount |
461915.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1551 |
Number Of Medicare Beneficiaries With Drug Services |
24 |
Total Drug Submitted ChargeAmount |
23386 |
Total Drug Medicare AllowedAmount |
17773.81 |
Total Drug Medicare PaymentAmount |
13531.03 |
Total Drug Medicare Standardized Payment Amount |
13531.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
5199 |
Number Of Medicare Beneficiaries With Medical Services |
1297 |
Total Medical Submitted Charge Amount |
702622.52 |
Total Medical Medicare Allowed Amount |
546479.83 |
Total Medical Medicare Payment Amount |
415777.54 |
Total Medical Medicare Standardized Payment Amount |
448384.37 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
354 |
Number Of Beneficiaries Age 65 to 74 |
437 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
163 |
Number Of Female Beneficiaries |
636 |
Number Of Male Beneficiaries |
661 |
Number Of Non Hispanic White Beneficiaries |
919 |
Number Of Black or African American Beneficiaries |
351 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
861 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
436 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
61 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
64 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
3.7128 |