National Provider Identifier [NPI]: |
1356428700 |
Last Name Of The Provider |
PERSAUD |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6130 PRESTLEY MILL RD STE C |
Street Address 2 Of The Provider |
|
City Of The Provider |
DOUGLASVILLE |
Zip Code Of The Provider |
301342288 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
16838 |
Number Of Medicare Beneficiaries |
279 |
Total Submitted Charge Amount |
1318605.8 |
Total Medicare Allowed Amount |
373633.48 |
Total Medicare Payment Amount |
284409.34 |
Total Medicare Standardized Payment Amount |
283482.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
17 |
Number Of Medicare Beneficiaries With Drug Services |
15 |
Total Drug Submitted ChargeAmount |
585 |
Total Drug Medicare AllowedAmount |
20.55 |
Total Drug Medicare PaymentAmount |
14.14 |
Total Drug Medicare Standardized Payment Amount |
14.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
16821 |
Number Of Medicare Beneficiaries With Medical Services |
279 |
Total Medical Submitted Charge Amount |
1318020.8 |
Total Medical Medicare Allowed Amount |
373612.93 |
Total Medical Medicare Payment Amount |
284395.2 |
Total Medical Medicare Standardized Payment Amount |
283468.41 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
120 |
Number Of Beneficiaries Age 75 to 84 |
69 |
Number Of Beneficiaries Age Greater 84 |
27 |
Number Of Female Beneficiaries |
165 |
Number Of Male Beneficiaries |
114 |
Number Of Non Hispanic White Beneficiaries |
190 |
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 |
223 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1927 |