National Provider Identifier [NPI]: |
1205913910 |
Last Name Of The Provider |
BERMAN |
First Name Of The Provider |
BENTE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
29525 CANWOOD ST |
Street Address 2 Of The Provider |
SUITE 219 |
City Of The Provider |
AGOURA HILLS |
Zip Code Of The Provider |
913014233 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
10566 |
Number Of Medicare Beneficiaries |
1107 |
Total Submitted Charge Amount |
796444.75 |
Total Medicare Allowed Amount |
557572.4 |
Total Medicare Payment Amount |
421605.16 |
Total Medicare Standardized Payment Amount |
374039.89 |
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 |
60 |
Number Of Medical Services |
10566 |
Number Of Medicare Beneficiaries With Medical Services |
1107 |
Total Medical Submitted Charge Amount |
796444.75 |
Total Medical Medicare Allowed Amount |
557572.4 |
Total Medical Medicare Payment Amount |
421605.16 |
Total Medical Medicare Standardized Payment Amount |
374039.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
39 |
Number Of Beneficiaries Age 65 to 74 |
598 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
136 |
Number Of Female Beneficiaries |
663 |
Number Of Male Beneficiaries |
444 |
Number Of Non Hispanic White Beneficiaries |
1065 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
1092 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
17 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.8501 |