Medicare Facts for Dr. Peter M. Birnstein, MD


National Provider Identifier [NPI]: 1255365508
Last Name Of The Provider BIRNSTEIN
First Name Of The Provider PETER
Middle Initial Of The Provider M
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2811 WILSHIRE BLVD STE 800
Street Address 2 Of The Provider
City Of The Provider SANTA MONICA
Zip Code Of The Provider 904034808
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 47
Number Of Services 1832
Number Of Medicare Beneficiaries 216
Total Submitted Charge Amount 164573
Total Medicare Allowed Amount 115483.76
Total Medicare Payment Amount 87754.48
Total Medicare Standardized Payment Amount 81074.04
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 105
Number Of Medicare Beneficiaries With Drug Services 85
Total Drug Submitted ChargeAmount 6225
Total Drug Medicare AllowedAmount 4624.98
Total Drug Medicare PaymentAmount 4530.43
Total Drug Medicare Standardized Payment Amount 4530.43
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 44
Number Of Medical Services 1727
Number Of Medicare Beneficiaries With Medical Services 216
Total Medical Submitted Charge Amount 158348
Total Medical Medicare Allowed Amount 110858.78
Total Medical Medicare Payment Amount 83224.05
Total Medical Medicare Standardized Payment Amount 76543.61
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 114
Number Of Beneficiaries Age 75 to 84 65
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 103
Number Of Male Beneficiaries 113
Number Of Non Hispanic White Beneficiaries 183
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 12
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 198
Number Of Beneficiaries With Medicare Medicaid Entitlement 18
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 6
Percent Of With Chronic Obstructive Pulmonary Disease
Percent Of With Depression 14
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 31
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9783

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