Medicare Facts for Dr. Sheila A. Berndt, MD


National Provider Identifier [NPI]: 1134122617
Last Name Of The Provider BERNDT
First Name Of The Provider SHEILA
Middle Initial Of The Provider A
Credentials Of The Provider M.D.
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 6840 WINDSOR AVE
Street Address 2 Of The Provider
City Of The Provider BERWYN
Zip Code Of The Provider 604023441
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 56
Number Of Services 1409
Number Of Medicare Beneficiaries 277
Total Submitted Charge Amount 148987
Total Medicare Allowed Amount 92325.92
Total Medicare Payment Amount 71677.37
Total Medicare Standardized Payment Amount 68503.74
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 15
Number Of Drug Services 167
Number Of Medicare Beneficiaries With Drug Services 141
Total Drug Submitted ChargeAmount 6880
Total Drug Medicare AllowedAmount 4738.75
Total Drug Medicare PaymentAmount 4594.55
Total Drug Medicare Standardized Payment Amount 4594.55
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 1242
Number Of Medicare Beneficiaries With Medical Services 277
Total Medical Submitted Charge Amount 142107
Total Medical Medicare Allowed Amount 87587.17
Total Medical Medicare Payment Amount 67082.82
Total Medical Medicare Standardized Payment Amount 63909.19
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 35
Number Of Beneficiaries Age 65 to 74 121
Number Of Beneficiaries Age 75 to 84 81
Number Of Beneficiaries Age Greater 84 40
Number Of Female Beneficiaries 245
Number Of Male Beneficiaries 32
Number Of Non Hispanic White Beneficiaries 248
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 242
Number Of Beneficiaries With Medicare Medicaid Entitlement 35
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 4
Percent Of With Cancer 8
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 17
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.8958

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