National Provider Identifier [NPI]: |
1013917962 |
Last Name Of The Provider |
BERNSTEIN |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
|
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2801 W KINNICKINNIC RIVER PKWY |
Street Address 2 Of The Provider |
840 |
City Of The Provider |
MILWAUKEE |
Zip Code Of The Provider |
532153669 |
State Code Of The Provider |
WI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
45 |
Number Of Services |
2911 |
Number Of Medicare Beneficiaries |
1332 |
Total Submitted Charge Amount |
2548412.35 |
Total Medicare Allowed Amount |
278408.65 |
Total Medicare Payment Amount |
201650.83 |
Total Medicare Standardized Payment Amount |
211771.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
331 |
Number Of Medicare Beneficiaries With Drug Services |
148 |
Total Drug Submitted ChargeAmount |
46085.35 |
Total Drug Medicare AllowedAmount |
16239.93 |
Total Drug Medicare PaymentAmount |
12317.78 |
Total Drug Medicare Standardized Payment Amount |
12317.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
39 |
Number Of Medical Services |
2580 |
Number Of Medicare Beneficiaries With Medical Services |
1331 |
Total Medical Submitted Charge Amount |
2502327 |
Total Medical Medicare Allowed Amount |
262168.72 |
Total Medical Medicare Payment Amount |
189333.05 |
Total Medical Medicare Standardized Payment Amount |
199453.56 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
168 |
Number Of Beneficiaries Age 65 to 74 |
463 |
Number Of Beneficiaries Age 75 to 84 |
452 |
Number Of Beneficiaries Age Greater 84 |
249 |
Number Of Female Beneficiaries |
693 |
Number Of Male Beneficiaries |
639 |
Number Of Non Hispanic White Beneficiaries |
1137 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1078 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
254 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.8942 |