National Provider Identifier [NPI]: |
1538130034 |
Last Name Of The Provider |
BERNSTEIN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
844 KEMPSVILLE RD |
Street Address 2 Of The Provider |
NORFOLK |
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235023927 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
4035 |
Number Of Medicare Beneficiaries |
1476 |
Total Submitted Charge Amount |
833676.04 |
Total Medicare Allowed Amount |
326063.27 |
Total Medicare Payment Amount |
248763.26 |
Total Medicare Standardized Payment Amount |
258632.22 |
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 |
92 |
Number Of Medical Services |
4035 |
Number Of Medicare Beneficiaries With Medical Services |
1476 |
Total Medical Submitted Charge Amount |
833676.04 |
Total Medical Medicare Allowed Amount |
326063.27 |
Total Medical Medicare Payment Amount |
248763.26 |
Total Medical Medicare Standardized Payment Amount |
258632.22 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
522 |
Number Of Beneficiaries Age 75 to 84 |
484 |
Number Of Beneficiaries Age Greater 84 |
291 |
Number Of Female Beneficiaries |
661 |
Number Of Male Beneficiaries |
815 |
Number Of Non Hispanic White Beneficiaries |
1114 |
Number Of Black or African American Beneficiaries |
298 |
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1308 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
168 |
Percent Of With Atrial Fibrillation |
52 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
55 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
67 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8358 |