National Provider Identifier [NPI]: |
1447236211 |
Last Name Of The Provider |
BERARDO |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8401 DATAPOINT DR STE 600 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782295907 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
200 |
Number Of Services |
30120 |
Number Of Medicare Beneficiaries |
4449 |
Total Submitted Charge Amount |
2165734.82 |
Total Medicare Allowed Amount |
529582.86 |
Total Medicare Payment Amount |
417307.74 |
Total Medicare Standardized Payment Amount |
456394.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
23124 |
Number Of Medicare Beneficiaries With Drug Services |
243 |
Total Drug Submitted ChargeAmount |
12686 |
Total Drug Medicare AllowedAmount |
5093.72 |
Total Drug Medicare PaymentAmount |
3877.42 |
Total Drug Medicare Standardized Payment Amount |
3877.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
196 |
Number Of Medical Services |
6996 |
Number Of Medicare Beneficiaries With Medical Services |
4448 |
Total Medical Submitted Charge Amount |
2153048.82 |
Total Medical Medicare Allowed Amount |
524489.14 |
Total Medical Medicare Payment Amount |
413430.32 |
Total Medical Medicare Standardized Payment Amount |
452516.87 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
721 |
Number Of Beneficiaries Age 65 to 74 |
1930 |
Number Of Beneficiaries Age 75 to 84 |
1249 |
Number Of Beneficiaries Age Greater 84 |
549 |
Number Of Female Beneficiaries |
2885 |
Number Of Male Beneficiaries |
1564 |
Number Of Non Hispanic White Beneficiaries |
2781 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
1389 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
3599 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
850 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.6267 |