National Provider Identifier [NPI]: |
1922180231 |
Last Name Of The Provider |
BERGER |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9970 CENTRAL PARK BLVD N |
Street Address 2 Of The Provider |
SUITE 401 |
City Of The Provider |
BOCA RATON |
Zip Code Of The Provider |
334282231 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
2670.5 |
Number Of Medicare Beneficiaries |
192 |
Total Submitted Charge Amount |
501742.39 |
Total Medicare Allowed Amount |
242556.2 |
Total Medicare Payment Amount |
189460.9 |
Total Medicare Standardized Payment Amount |
155475.74 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
991.5 |
Number Of Medicare Beneficiaries With Drug Services |
160 |
Total Drug Submitted ChargeAmount |
9742.41 |
Total Drug Medicare AllowedAmount |
3804.8 |
Total Drug Medicare PaymentAmount |
2978.99 |
Total Drug Medicare Standardized Payment Amount |
2978.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
55 |
Number Of Medical Services |
1679 |
Number Of Medicare Beneficiaries With Medical Services |
192 |
Total Medical Submitted Charge Amount |
491999.98 |
Total Medical Medicare Allowed Amount |
238751.4 |
Total Medical Medicare Payment Amount |
186481.91 |
Total Medical Medicare Standardized Payment Amount |
152496.75 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
16 |
Number Of Beneficiaries Age 65 to 74 |
57 |
Number Of Beneficiaries Age 75 to 84 |
76 |
Number Of Beneficiaries Age Greater 84 |
43 |
Number Of Female Beneficiaries |
104 |
Number Of Male Beneficiaries |
88 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
178 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
14 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5984 |