National Provider Identifier [NPI]: |
1497805980 |
Last Name Of The Provider |
BERGER |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4207 JAMES CASEY ST |
Street Address 2 Of The Provider |
STE. 315 |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787453300 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
87 |
Number Of Services |
2030 |
Number Of Medicare Beneficiaries |
389 |
Total Submitted Charge Amount |
248810 |
Total Medicare Allowed Amount |
162987.64 |
Total Medicare Payment Amount |
121348.18 |
Total Medicare Standardized Payment Amount |
126550.8 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
65 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
455 |
Total Drug Medicare AllowedAmount |
155.82 |
Total Drug Medicare PaymentAmount |
104.24 |
Total Drug Medicare Standardized Payment Amount |
104.24 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
85 |
Number Of Medical Services |
1965 |
Number Of Medicare Beneficiaries With Medical Services |
389 |
Total Medical Submitted Charge Amount |
248355 |
Total Medical Medicare Allowed Amount |
162831.82 |
Total Medical Medicare Payment Amount |
121243.94 |
Total Medical Medicare Standardized Payment Amount |
126446.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
61 |
Number Of Beneficiaries Age 65 to 74 |
111 |
Number Of Beneficiaries Age 75 to 84 |
151 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
188 |
Number Of Non Hispanic White Beneficiaries |
247 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
93 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
321 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
68 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9099 |