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Adriana Carmenza Bermeo Ovalle

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NPI Number Detailed Information

Provider Information:

Name: Adriana Carmenza Bermeo Ovalle
Gender: F
Provider License Number If Given: 57.011312

NPI Information:

NPI: 1619183852
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 5/15/2007

Last Update Date: 8/30/2011

Reputation Report:

Provider Business Mailing Address:

Address: 1803 W RACE AVE #3W
Chicago, IL 60622
Phone Number: 3129424500
Fax Number:

Provider Business Practice Location Address:

Address: 1725 W HARRISON ST SUITE 1106
Chicago, IL 60612
Phone Number: 3129424500
Fax Number:

Provider Taxonomy:

Primary: 2084N0600X
Secondary (if any): 2084N0600X
State: IL

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About Adriana Carmenza Bermeo Ovalle

Adriana Carmenza Bermeo Ovalle ( ADRIANA CARMENZA BERMEO OVALLE ) is Clinical Psychiatry & Neurology Physician in Chicago, IL. The NPI Number for Adriana Carmenza Bermeo Ovalle is 1619183852.
The current location address for Adriana Carmenza Bermeo Ovalle is 1725 W HARRISON ST SUITE 1106 Chicago, IL 60612 and the contact number is 3129424500 and fax number is . The mailing address for Adriana Carmenza Bermeo Ovalle is 1803 W RACE AVE #3W Chicago, IL 60622- 3129424500 (mailing address contact number - 3129424500).
Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

Provider Business Location on Map

FAQs:

What is the NPI Number for Adriana Carmenza Bermeo Ovalle ?


Answer: The NPI Number for Adriana Carmenza Bermeo Ovalle is 1619183852

Where is Adriana Carmenza Bermeo Ovalle located?


Answer: Adriana Carmenza Bermeo Ovalle is located at 1725 W HARRISON ST SUITE 1106 Chicago, IL 60612.

What is the specialty for Adriana Carmenza Bermeo Ovalle ?


Answer: The Specialty of Adriana Carmenza Bermeo Ovalle is Clinical Psychiatry & Neurology Physician.

Are there any online reviews for Adriana Carmenza Bermeo Ovalle ?


Answer: Yes! Check It Now.

Are there any other health care providers in Chicago, IL?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Adriana Carmenza Bermeo Ovalle

Number of HCPCS 24
Number of Medicare Beneficiaries 205
Number of Services 325
Total Submitted Charge Amount 99513
Total Medicare Allowed Amount 42267.4
Total Medicare Payment Amount 30934.13
Total Medicare Standardized Payment Amount 29295.44
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 24
Number of Medicare Beneficiaries With Medical 205
Number of Medical Services 325
Total Medical Submitted Charge Amount 99513
Total Medical Medicare Allowed Amount 42267.4
Total Medical Medicare Payment Amount 30934.13
Total Medical Medicare Standardized Payment Amount 29295.44
Average Age of Beneficiaries 63
Number of Beneficiaries Age Less 65 97
Number of Beneficiaries Age 65 to 74 50
Number of Beneficiaries Age 75 to 84 45
Number of Beneficiaries Age Greater 84 13
Number of Female Beneficiaries 125
Number of Male Beneficiaries 80
Number of Non-Hispanic White Beneficiaries 84
Number of Black or African American Beneficiaries 70
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 115
Number of Beneficiaries With Medicare Only Entitlement 90
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.14
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.34
Percent (%) of Beneficiaries Identified With Asthma 0.09
Percent (%) of Beneficiaries Identified With Cancer 0.12
Percent (%) of Beneficiaries Identified With Heart Failure 0.38
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.47
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.17
Percent (%) of Beneficiaries Identified With Depression 0.44
Percent (%) of Beneficiaries Identified With Diabetes 0.35
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.57
Percent (%) of Beneficiaries Identified With Hypertension 0.65
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.46
Percent (%) of Beneficiaries Identified With Osteoporosis 0.11
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.4
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders 0.12
Percent (%) of Beneficiaries Identified With Stroke 0.3
Average HCC Risk Score of Beneficiaries 2.4311

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Neurology
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 1464
Number of Standardized 30-Day Fills 2320.5
Aggregate Cost Paid for All Claims 705529.53
Number of Day's Supply for All Claims 68215
Number of Medicare Beneficiaries 143
Number of Claims, Including Refills, for Beneficiaries Age 65+ 358
Including Refills, for Beneficiaries Age 65+ 633.93333333
Beneficiaries Age 65+ 116627.94
Number of Day's Supply for All Claims for Beneficaries Age 65+ 18604
Number of Medicare Beneficiaries Age 65+ 48
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 393
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 1056
Aggregate Cost Paid for Generic Drugs 86367.6
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 15
Aggregate Cost Paid for Other Drugs 898.33
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 197
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 30596.25
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 1267
Aggregate Cost Paid for Claims Filled by 674933.28
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 1158
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 580162.82
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 306
by Low-Income Subsidy 125366.71
Total Claims of Opioid Drugs, Including 0
Aggregate Cost Paid for Opioid Drugs 0
Opioid Claims 0
Opioid_Tot_Clms divided by the Tot_Clms 0
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the
Total Claims of Antibiotic Drugs, Including 0
Aggregate Cost Paid for Antibiotic Drugs 0
Antibiotic Claims 0
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 0
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 0
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims 0
Average Age of Beneficiaries 55.006993007
Number of Beneficiaries Age Less Than 65 95
Number of Beneficiaries Age 65 to 74 27
Number of Beneficiaries Age 75 to 84
Number of Female Beneficiaries 86
Number of Male Beneficiaries 57
Number of Non-Hispanic White 45
Number of Black or African American 34
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 59
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not
Only Entitlement 42
Average Hierarchical Condition Category 1.5510487993

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