National Provider Identifier [NPI]: |
1730295064 |
Last Name Of The Provider |
PEERY |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
611 ALCORN DR |
Street Address 2 Of The Provider |
SUITE 110 |
City Of The Provider |
CORINTH |
Zip Code Of The Provider |
388349321 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
64 |
Number Of Services |
4734 |
Number Of Medicare Beneficiaries |
845 |
Total Submitted Charge Amount |
458561 |
Total Medicare Allowed Amount |
186329.47 |
Total Medicare Payment Amount |
134315.34 |
Total Medicare Standardized Payment Amount |
144776.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
328 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
7728 |
Total Drug Medicare AllowedAmount |
1318.31 |
Total Drug Medicare PaymentAmount |
989.03 |
Total Drug Medicare Standardized Payment Amount |
989.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
4406 |
Number Of Medicare Beneficiaries With Medical Services |
845 |
Total Medical Submitted Charge Amount |
450833 |
Total Medical Medicare Allowed Amount |
185011.16 |
Total Medical Medicare Payment Amount |
133326.31 |
Total Medical Medicare Standardized Payment Amount |
143787.04 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
319 |
Number Of Beneficiaries Age 75 to 84 |
229 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
491 |
Number Of Male Beneficiaries |
354 |
Number Of Non Hispanic White Beneficiaries |
788 |
Number Of Black or African American Beneficiaries |
46 |
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 |
571 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
274 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3336 |