National Provider Identifier [NPI]: |
1669424578 |
Last Name Of The Provider |
PERKINS |
First Name Of The Provider |
DON |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1724 KENTON ST |
Street Address 2 Of The Provider |
SUITE 2 A |
City Of The Provider |
HOPKINSVILLE |
Zip Code Of The Provider |
422401981 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
3288 |
Number Of Medicare Beneficiaries |
735 |
Total Submitted Charge Amount |
293930.76 |
Total Medicare Allowed Amount |
222467.23 |
Total Medicare Payment Amount |
155915.32 |
Total Medicare Standardized Payment Amount |
170725.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
260 |
Number Of Medicare Beneficiaries With Drug Services |
194 |
Total Drug Submitted ChargeAmount |
8329 |
Total Drug Medicare AllowedAmount |
5912.24 |
Total Drug Medicare PaymentAmount |
5766.86 |
Total Drug Medicare Standardized Payment Amount |
5766.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
26 |
Number Of Medical Services |
3028 |
Number Of Medicare Beneficiaries With Medical Services |
735 |
Total Medical Submitted Charge Amount |
285601.76 |
Total Medical Medicare Allowed Amount |
216554.99 |
Total Medical Medicare Payment Amount |
150148.46 |
Total Medical Medicare Standardized Payment Amount |
164958.81 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
140 |
Number Of Beneficiaries Age 65 to 74 |
285 |
Number Of Beneficiaries Age 75 to 84 |
206 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
401 |
Number Of Male Beneficiaries |
334 |
Number Of Non Hispanic White Beneficiaries |
670 |
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 |
594 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
141 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.0815 |