National Provider Identifier [NPI]: |
1649450610 |
Last Name Of The Provider |
BERNSTONE |
First Name Of The Provider |
MARTIN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15110 KITTRIDGE ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
VAN NUYS |
Zip Code Of The Provider |
914054526 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
15 |
Number Of Services |
4453 |
Number Of Medicare Beneficiaries |
912 |
Total Submitted Charge Amount |
349117 |
Total Medicare Allowed Amount |
296911.71 |
Total Medicare Payment Amount |
231727.04 |
Total Medicare Standardized Payment Amount |
212326.82 |
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 |
15 |
Number Of Medical Services |
4453 |
Number Of Medicare Beneficiaries With Medical Services |
912 |
Total Medical Submitted Charge Amount |
349117 |
Total Medical Medicare Allowed Amount |
296911.71 |
Total Medical Medicare Payment Amount |
231727.04 |
Total Medical Medicare Standardized Payment Amount |
212326.82 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
20 |
Number Of Beneficiaries Age 65 to 74 |
281 |
Number Of Beneficiaries Age 75 to 84 |
473 |
Number Of Beneficiaries Age Greater 84 |
138 |
Number Of Female Beneficiaries |
573 |
Number Of Male Beneficiaries |
339 |
Number Of Non Hispanic White Beneficiaries |
797 |
Number Of Black or African American Beneficiaries |
0 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
74 |
Number Of Beneficiaries With Medicare Only Entitlement |
14 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
898 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
46 |
Percent Of With Asthma |
21 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
61 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.7643 |