National Provider Identifier [NPI]: |
1013996859 |
Last Name Of The Provider |
PERRY |
First Name Of The Provider |
MATTHEW |
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 |
1 S SCHOOL AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
SARASOTA |
Zip Code Of The Provider |
342376014 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
8746 |
Number Of Medicare Beneficiaries |
995 |
Total Submitted Charge Amount |
1613536.49 |
Total Medicare Allowed Amount |
472349.1 |
Total Medicare Payment Amount |
358628.74 |
Total Medicare Standardized Payment Amount |
360973.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3302 |
Number Of Medicare Beneficiaries With Drug Services |
43 |
Total Drug Submitted ChargeAmount |
154936.5 |
Total Drug Medicare AllowedAmount |
43736.15 |
Total Drug Medicare PaymentAmount |
34082.4 |
Total Drug Medicare Standardized Payment Amount |
34082.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
122 |
Number Of Medical Services |
5444 |
Number Of Medicare Beneficiaries With Medical Services |
995 |
Total Medical Submitted Charge Amount |
1458599.99 |
Total Medical Medicare Allowed Amount |
428612.95 |
Total Medical Medicare Payment Amount |
324546.34 |
Total Medical Medicare Standardized Payment Amount |
326890.92 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
71 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
376 |
Number Of Beneficiaries Age Greater 84 |
147 |
Number Of Female Beneficiaries |
243 |
Number Of Male Beneficiaries |
752 |
Number Of Non Hispanic White Beneficiaries |
913 |
Number Of Black or African American Beneficiaries |
39 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
25 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
889 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
106 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.3144 |