| National Provider Identifier [NPI]: | 1336121938 |
| Last Name Of The Provider | BERRY |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | G |
| Credentials Of The Provider | D.O. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 800 KENYON RD |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT DODGE |
| Zip Code Of The Provider | 505015776 |
| State Code Of The Provider | IA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 81 |
| Number Of Services | 11261 |
| Number Of Medicare Beneficiaries | 3503 |
| Total Submitted Charge Amount | 1729722.24 |
| Total Medicare Allowed Amount | 701580.99 |
| Total Medicare Payment Amount | 516537.84 |
| Total Medicare Standardized Payment Amount | 559818.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 1144 |
| Number Of Medicare Beneficiaries With Drug Services | 285 |
| Total Drug Submitted ChargeAmount | 57737.68 |
| Total Drug Medicare AllowedAmount | 57737.68 |
| Total Drug Medicare PaymentAmount | 44573.94 |
| Total Drug Medicare Standardized Payment Amount | 44573.94 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 80 |
| Number Of Medical Services | 10117 |
| Number Of Medicare Beneficiaries With Medical Services | 3503 |
| Total Medical Submitted Charge Amount | 1671984.56 |
| Total Medical Medicare Allowed Amount | 643843.31 |
| Total Medical Medicare Payment Amount | 471963.9 |
| Total Medical Medicare Standardized Payment Amount | 515244.7 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 350 |
| Number Of Beneficiaries Age 65 to 74 | 1081 |
| Number Of Beneficiaries Age 75 to 84 | 1240 |
| Number Of Beneficiaries Age Greater 84 | 832 |
| Number Of Female Beneficiaries | 1756 |
| Number Of Male Beneficiaries | 1747 |
| Number Of Non Hispanic White Beneficiaries | 3421 |
| Number Of Black or African American Beneficiaries | 27 |
| 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 | 30 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2948 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 555 |
| Percent Of With Atrial Fibrillation | 32 |
| Percent Of With Alzheimers Disease or Dementia | 17 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 36 |
| Percent Of With Chronic Kidney Disease | 33 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 21 |
| Percent Of With Depression | 18 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 58 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 64 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 36 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 4 |
| Percent Of With Stroke | 5 |
| Average HCC Risk Score Of Beneficiaries | 1.4414 |