National Provider Identifier [NPI]: |
1982694840 |
Last Name Of The Provider |
BERCES |
First Name Of The Provider |
CSABA |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1021 PARK AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
QUAKERTOWN |
Zip Code Of The Provider |
189511573 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
2522 |
Number Of Medicare Beneficiaries |
922 |
Total Submitted Charge Amount |
267874.72 |
Total Medicare Allowed Amount |
212530.19 |
Total Medicare Payment Amount |
159800.08 |
Total Medicare Standardized Payment Amount |
147097 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
2059 |
Total Drug Medicare AllowedAmount |
715.13 |
Total Drug Medicare PaymentAmount |
683.31 |
Total Drug Medicare Standardized Payment Amount |
683.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
51 |
Number Of Medical Services |
2480 |
Number Of Medicare Beneficiaries With Medical Services |
922 |
Total Medical Submitted Charge Amount |
265815.72 |
Total Medical Medicare Allowed Amount |
211815.06 |
Total Medical Medicare Payment Amount |
159116.77 |
Total Medical Medicare Standardized Payment Amount |
146413.69 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
264 |
Number Of Beneficiaries Age 75 to 84 |
241 |
Number Of Beneficiaries Age Greater 84 |
269 |
Number Of Female Beneficiaries |
539 |
Number Of Male Beneficiaries |
383 |
Number Of Non Hispanic White Beneficiaries |
886 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
669 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
253 |
Percent Of With Atrial Fibrillation |
26 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8436 |