National Provider Identifier [NPI]: |
1699824193 |
Last Name Of The Provider |
BERENT |
First Name Of The Provider |
CRAIG |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4301 BURNET RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
AUSTIN |
Zip Code Of The Provider |
787563317 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
1586 |
Number Of Medicare Beneficiaries |
317 |
Total Submitted Charge Amount |
131900 |
Total Medicare Allowed Amount |
92798.92 |
Total Medicare Payment Amount |
64448.39 |
Total Medicare Standardized Payment Amount |
65959.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
156 |
Total Drug Submitted ChargeAmount |
6325 |
Total Drug Medicare AllowedAmount |
2691.11 |
Total Drug Medicare PaymentAmount |
2618.92 |
Total Drug Medicare Standardized Payment Amount |
2618.92 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
1410 |
Number Of Medicare Beneficiaries With Medical Services |
317 |
Total Medical Submitted Charge Amount |
125575 |
Total Medical Medicare Allowed Amount |
90107.81 |
Total Medical Medicare Payment Amount |
61829.47 |
Total Medical Medicare Standardized Payment Amount |
63340.78 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
15 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
164 |
Number Of Male Beneficiaries |
153 |
Number Of Non Hispanic White Beneficiaries |
268 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
302 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
15 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
62 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9366 |