National Provider Identifier [NPI]: |
1568443588 |
Last Name Of The Provider |
PERR |
First Name Of The Provider |
NORMAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
22 ATWOOD DR |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
NORTHAMPTON |
Zip Code Of The Provider |
010604272 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
2022 |
Number Of Medicare Beneficiaries |
1302 |
Total Submitted Charge Amount |
254959 |
Total Medicare Allowed Amount |
110202.55 |
Total Medicare Payment Amount |
75844.22 |
Total Medicare Standardized Payment Amount |
73816.03 |
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 |
32 |
Number Of Medical Services |
2022 |
Number Of Medicare Beneficiaries With Medical Services |
1302 |
Total Medical Submitted Charge Amount |
254959 |
Total Medical Medicare Allowed Amount |
110202.55 |
Total Medical Medicare Payment Amount |
75844.22 |
Total Medical Medicare Standardized Payment Amount |
73816.03 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
147 |
Number Of Beneficiaries Age 65 to 74 |
391 |
Number Of Beneficiaries Age 75 to 84 |
419 |
Number Of Beneficiaries Age Greater 84 |
345 |
Number Of Female Beneficiaries |
665 |
Number Of Male Beneficiaries |
637 |
Number Of Non Hispanic White Beneficiaries |
1196 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
16 |
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1003 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.6445 |