National Provider Identifier [NPI]: |
1679530273 |
Last Name Of The Provider |
BERNSTEIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2401 E EVESHAM RD |
Street Address 2 Of The Provider |
SUITE F |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080439590 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
127 |
Number Of Services |
7873 |
Number Of Medicare Beneficiaries |
1347 |
Total Submitted Charge Amount |
867861.06 |
Total Medicare Allowed Amount |
458888.52 |
Total Medicare Payment Amount |
344297.78 |
Total Medicare Standardized Payment Amount |
325462.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2780 |
Number Of Medicare Beneficiaries With Drug Services |
53 |
Total Drug Submitted ChargeAmount |
186191.3 |
Total Drug Medicare AllowedAmount |
62948.04 |
Total Drug Medicare PaymentAmount |
49116.37 |
Total Drug Medicare Standardized Payment Amount |
49116.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
114 |
Number Of Medical Services |
5093 |
Number Of Medicare Beneficiaries With Medical Services |
1347 |
Total Medical Submitted Charge Amount |
681669.76 |
Total Medical Medicare Allowed Amount |
395940.48 |
Total Medical Medicare Payment Amount |
295181.41 |
Total Medical Medicare Standardized Payment Amount |
276345.9 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
153 |
Number Of Beneficiaries Age 65 to 74 |
468 |
Number Of Beneficiaries Age 75 to 84 |
462 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
535 |
Number Of Male Beneficiaries |
812 |
Number Of Non Hispanic White Beneficiaries |
1168 |
Number Of Black or African American Beneficiaries |
113 |
Number Of AsianPacific Islander Beneficiaries |
11 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
18 |
Number Of Beneficiaries With Medicare Only Entitlement |
1143 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
204 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
22 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
29 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6115 |