National Provider Identifier [NPI]: |
1154583136 |
Last Name Of The Provider |
CERNY |
First Name Of The Provider |
SABRINA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4600 VALLEY ROAD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
LINCOLN |
Zip Code Of The Provider |
685104882 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
969 |
Number Of Medicare Beneficiaries |
336 |
Total Submitted Charge Amount |
98098 |
Total Medicare Allowed Amount |
55966.36 |
Total Medicare Payment Amount |
42038.73 |
Total Medicare Standardized Payment Amount |
43789.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
234 |
Number Of Medicare Beneficiaries With Drug Services |
48 |
Total Drug Submitted ChargeAmount |
2395 |
Total Drug Medicare AllowedAmount |
1440.73 |
Total Drug Medicare PaymentAmount |
1370.9 |
Total Drug Medicare Standardized Payment Amount |
1370.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
735 |
Number Of Medicare Beneficiaries With Medical Services |
336 |
Total Medical Submitted Charge Amount |
95703 |
Total Medical Medicare Allowed Amount |
54525.63 |
Total Medical Medicare Payment Amount |
40667.83 |
Total Medical Medicare Standardized Payment Amount |
42418.39 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
128 |
Number Of Beneficiaries Age 65 to 74 |
81 |
Number Of Beneficiaries Age 75 to 84 |
78 |
Number Of Beneficiaries Age Greater 84 |
49 |
Number Of Female Beneficiaries |
195 |
Number Of Male Beneficiaries |
141 |
Number Of Non Hispanic White Beneficiaries |
282 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
41 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.4629 |