National Provider Identifier [NPI]: |
1770578965 |
Last Name Of The Provider |
PERRY |
First Name Of The Provider |
DENNIS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2270 JOLLY OAK RD |
Street Address 2 Of The Provider |
SUITE 1 |
City Of The Provider |
OKEMOS |
Zip Code Of The Provider |
488644528 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
3440 |
Number Of Medicare Beneficiaries |
829 |
Total Submitted Charge Amount |
391738 |
Total Medicare Allowed Amount |
254293.55 |
Total Medicare Payment Amount |
183872.57 |
Total Medicare Standardized Payment Amount |
190726.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
10 |
Number Of Drug Services |
398 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
5493 |
Total Drug Medicare AllowedAmount |
3746.66 |
Total Drug Medicare PaymentAmount |
2941.42 |
Total Drug Medicare Standardized Payment Amount |
2941.42 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
3042 |
Number Of Medicare Beneficiaries With Medical Services |
829 |
Total Medical Submitted Charge Amount |
386245 |
Total Medical Medicare Allowed Amount |
250546.89 |
Total Medical Medicare Payment Amount |
180931.15 |
Total Medical Medicare Standardized Payment Amount |
187785.51 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
45 |
Number Of Beneficiaries Age 65 to 74 |
237 |
Number Of Beneficiaries Age 75 to 84 |
258 |
Number Of Beneficiaries Age Greater 84 |
289 |
Number Of Female Beneficiaries |
484 |
Number Of Male Beneficiaries |
345 |
Number Of Non Hispanic White Beneficiaries |
751 |
Number Of Black or African American Beneficiaries |
42 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
718 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
111 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
36 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7136 |