National Provider Identifier [NPI]: |
1215996400 |
Last Name Of The Provider |
BERNIER |
First Name Of The Provider |
ARACELIA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1606 TENNESSEE AVE. |
Street Address 2 Of The Provider |
|
City Of The Provider |
LYNN HAVEN |
Zip Code Of The Provider |
32444 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
6241 |
Number Of Medicare Beneficiaries |
415 |
Total Submitted Charge Amount |
319498 |
Total Medicare Allowed Amount |
230243.66 |
Total Medicare Payment Amount |
169365.04 |
Total Medicare Standardized Payment Amount |
174334.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
2848 |
Number Of Medicare Beneficiaries With Drug Services |
266 |
Total Drug Submitted ChargeAmount |
17592 |
Total Drug Medicare AllowedAmount |
6097.71 |
Total Drug Medicare PaymentAmount |
5448.69 |
Total Drug Medicare Standardized Payment Amount |
5448.69 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
61 |
Number Of Medical Services |
3393 |
Number Of Medicare Beneficiaries With Medical Services |
415 |
Total Medical Submitted Charge Amount |
301906 |
Total Medical Medicare Allowed Amount |
224145.95 |
Total Medical Medicare Payment Amount |
163916.35 |
Total Medical Medicare Standardized Payment Amount |
168885.5 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
38 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
143 |
Number Of Non Hispanic White Beneficiaries |
338 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8917 |