National Provider Identifier [NPI]: |
1700849965 |
Last Name Of The Provider |
PERKINS |
First Name Of The Provider |
LYNDON |
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 |
860 S MADISON ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388014905 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
3261 |
Number Of Medicare Beneficiaries |
1169 |
Total Submitted Charge Amount |
556070 |
Total Medicare Allowed Amount |
284731.33 |
Total Medicare Payment Amount |
214143 |
Total Medicare Standardized Payment Amount |
228834.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
81 |
Number Of Medicare Beneficiaries With Drug Services |
79 |
Total Drug Submitted ChargeAmount |
1369 |
Total Drug Medicare AllowedAmount |
1347.5 |
Total Drug Medicare PaymentAmount |
1292.05 |
Total Drug Medicare Standardized Payment Amount |
1292.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
50 |
Number Of Medical Services |
3180 |
Number Of Medicare Beneficiaries With Medical Services |
1169 |
Total Medical Submitted Charge Amount |
554701 |
Total Medical Medicare Allowed Amount |
283383.83 |
Total Medical Medicare Payment Amount |
212850.95 |
Total Medical Medicare Standardized Payment Amount |
227542.35 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
365 |
Number Of Beneficiaries Age 65 to 74 |
466 |
Number Of Beneficiaries Age 75 to 84 |
271 |
Number Of Beneficiaries Age Greater 84 |
67 |
Number Of Female Beneficiaries |
624 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
941 |
Number Of Black or African American Beneficiaries |
217 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
750 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
419 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
47 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.6302 |