National Provider Identifier [NPI]: |
1477678530 |
Last Name Of The Provider |
BERNDT |
First Name Of The Provider |
LAWRENCE |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
P.A.-C. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
11020 HULL STREET RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MIDLOTHIAN |
Zip Code Of The Provider |
231123200 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
1130 |
Number Of Medicare Beneficiaries |
376 |
Total Submitted Charge Amount |
94394 |
Total Medicare Allowed Amount |
36201.7 |
Total Medicare Payment Amount |
24806.84 |
Total Medicare Standardized Payment Amount |
31367.59 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
70 |
Number Of Medicare Beneficiaries With Drug Services |
37 |
Total Drug Submitted ChargeAmount |
1099 |
Total Drug Medicare AllowedAmount |
449.07 |
Total Drug Medicare PaymentAmount |
361.09 |
Total Drug Medicare Standardized Payment Amount |
361.09 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
1060 |
Number Of Medicare Beneficiaries With Medical Services |
376 |
Total Medical Submitted Charge Amount |
93295 |
Total Medical Medicare Allowed Amount |
35752.63 |
Total Medical Medicare Payment Amount |
24445.75 |
Total Medical Medicare Standardized Payment Amount |
31006.5 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
36 |
Number Of Beneficiaries Age 65 to 74 |
214 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
37 |
Number Of Female Beneficiaries |
210 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
311 |
Number Of Black or African American Beneficiaries |
47 |
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 |
360 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
16 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.7869 |