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CMS public data · NPI 1821056771

Dr. Matthew A Bernabei: Medicare prescribing and billing data

CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.

CMS display name

Matthew A Bernabei, M.D.

Credential

M.D.

NPI

1821056771

Primary source state

PA

Data retrieval date

July 28, 2026

Where these numbers come from, and what they cannot tell you

Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.

How should you read this Doctor page?

This page shows Medicare billing and Part D prescribing data for Matthew A Bernabei, M.D. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.

A licensed agent, not a call center

Do your doctors and prescriptions fit before you enroll?

Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.

What Medicare source indicators are listed for this NPI?

Medicare participating

Yes

Individual assignment

Yes

Group assignment

Yes

CMS opt-out records

0

Which practice locations appear in CMS files?

When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.

Medicare billing address

CMS Medicare provider billing file

217 Harrisburg Ave
The Heart Group Of Lghealth
Lancaster, PA 17603

THE HEART GROUP OF LANCASTER GENERAL HEALTH

CMS Doctors & Clinicians file

217 Harrisburg Ave
Lancaster, PA 17603

(717) 544-8300

What does the Medicare billing file show?

In the 2024 CMS provider billing file, this NPI had 2,159 Medicare beneficiaries and 4,323 total services. The average beneficiary age was 79, and the average HCC risk score was 1.7.

Total Medicare allowed amount

$351,868.08

Total Medicare payment amount

$267,270.64

Medicare beneficiaries

2,159

Total services

4,323

Which patient-panel condition fields does CMS report?

These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.

Hyperlipidemia

75%

CMS beneficiary-panel share

Hypertension

75%

CMS beneficiary-panel share

Atrial fibrillation

64%

CMS beneficiary-panel share

Ischemic heart disease

52%

CMS beneficiary-panel share

Heart failure

47%

CMS beneficiary-panel share

Chronic kidney disease

43%

CMS beneficiary-panel share

Where these service numbers come from, and what they cannot tell you

Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.

Which Medicare services appear most often?

Highest-volume Medicare services, 2024 reporting year
CMS service descriptionServicesAvg allowed
Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days918$19.39
Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days725$27.78
Evaluation of cardiac rhythm monitor system, remote up to 30 days387$60.98
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more277$121.24
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days254$21.73
Programming of dual lead pacemaker system236$72.82
Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days207$34.33
Electrocardiogram (ecg) 2-day continuous with review by health care professional141$17.21
Programming of single, dual, or multiple lead or leadless pacemaker system before or after surgery86$13.76
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more85$169.27

Where these Part D numbers come from, and what they cannot tell you

CMS data reports historical prescription drug events attributed to NPI 1821056771. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.

Which drugs did Matthew A Bernabei, M.D. prescribe most often under Medicare Part D?

Top 10 Medicare Part D drugs for NPI 1821056771, ranked by total claims in the CMS 2024 provider-and-drug file
RankDrugGeneric nameTotal claims30-day fillsTotal drug cost
1EliquisApixaban94156.5$88,975.02
2Metoprolol TartrateMetoprolol Tartrate93159$431.55
3Amiodarone HclAmiodarone Hcl92153.5$4,902.02
4Metoprolol SuccinateMetoprolol Succinate53105.5$681.11
5Diltiazem 24Hr Er (Cd)Diltiazem Hcl3651$562.16
6DigoxinDigoxin3143$332.09
7Pantoprazole SodiumPantoprazole Sodium2728.1$143.56
8CarvedilolCarvedilol2224$35.32
9SotalolSotalol Hcl2248$174.80
10Warfarin SodiumWarfarin Sodium1938.7$103.49

CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.

What background fields does CMS report?

Medical school

Temple University School Of Medicine

Graduation year

2003

Group/practice field

The Heart Group Of Lancaster General Health

Telehealth reported

Not reported

Secondary specialty fields reported by CMS: Cardiovascular Disease (Cardiology).

What can this data not tell us?

  • Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
  • Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
  • CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
  • CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
  • Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.

What should you verify separately?

Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.

Which CMS sources support this page?

The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.

What caveats apply to this page?
  • CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
  • Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
  • Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.