National Provider Identifier [NPI]: |
1891835195 |
Last Name Of The Provider |
BERMAN |
First Name Of The Provider |
PHILIP |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD FACC |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
915 GESSNER RD |
Street Address 2 Of The Provider |
SUITE 900 |
City Of The Provider |
HOUSTON |
Zip Code Of The Provider |
770242527 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
6131 |
Number Of Medicare Beneficiaries |
1909 |
Total Submitted Charge Amount |
1264881.75 |
Total Medicare Allowed Amount |
569876.43 |
Total Medicare Payment Amount |
422110.92 |
Total Medicare Standardized Payment Amount |
420925.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
53 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
2848.75 |
Total Drug Medicare AllowedAmount |
2808.27 |
Total Drug Medicare PaymentAmount |
2201.67 |
Total Drug Medicare Standardized Payment Amount |
2201.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
76 |
Number Of Medical Services |
6078 |
Number Of Medicare Beneficiaries With Medical Services |
1909 |
Total Medical Submitted Charge Amount |
1262033 |
Total Medical Medicare Allowed Amount |
567068.16 |
Total Medical Medicare Payment Amount |
419909.25 |
Total Medical Medicare Standardized Payment Amount |
418723.79 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
165 |
Number Of Beneficiaries Age 65 to 74 |
656 |
Number Of Beneficiaries Age 75 to 84 |
662 |
Number Of Beneficiaries Age Greater 84 |
426 |
Number Of Female Beneficiaries |
990 |
Number Of Male Beneficiaries |
919 |
Number Of Non Hispanic White Beneficiaries |
1434 |
Number Of Black or African American Beneficiaries |
238 |
Number Of AsianPacific Islander Beneficiaries |
28 |
Number Of Hispanic Beneficiaries |
189 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1641 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
268 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.8247 |