National Provider Identifier [NPI]: |
1053561977 |
Last Name Of The Provider |
PALERMO |
First Name Of The Provider |
JASON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2309 E EVESHAM RD |
Street Address 2 Of The Provider |
SUITES 201 & 202 |
City Of The Provider |
VOORHEES |
Zip Code Of The Provider |
080431559 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4406 |
Number Of Medicare Beneficiaries |
2308 |
Total Submitted Charge Amount |
554915.3 |
Total Medicare Allowed Amount |
262380.17 |
Total Medicare Payment Amount |
200771.85 |
Total Medicare Standardized Payment Amount |
192138.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
4406 |
Number Of Medicare Beneficiaries With Medical Services |
2308 |
Total Medical Submitted Charge Amount |
554915.3 |
Total Medical Medicare Allowed Amount |
262380.17 |
Total Medical Medicare Payment Amount |
200771.85 |
Total Medical Medicare Standardized Payment Amount |
192138.05 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
723 |
Number Of Beneficiaries Age 75 to 84 |
692 |
Number Of Beneficiaries Age Greater 84 |
619 |
Number Of Female Beneficiaries |
1370 |
Number Of Male Beneficiaries |
938 |
Number Of Non Hispanic White Beneficiaries |
1916 |
Number Of Black or African American Beneficiaries |
255 |
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
65 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1906 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
402 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
20 |
Average HCC Risk Score Of Beneficiaries |
1.9577 |