National Provider Identifier [NPI]: |
1073578589 |
Last Name Of The Provider |
PERSAUD |
First Name Of The Provider |
TAREK |
Middle Initial Of The Provider |
O |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
401 MERIDIAN ST N |
Street Address 2 Of The Provider |
400 |
City Of The Provider |
HUNTSVILLE |
Zip Code Of The Provider |
358014720 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
8036 |
Number Of Medicare Beneficiaries |
1411 |
Total Submitted Charge Amount |
1776931 |
Total Medicare Allowed Amount |
892226.5 |
Total Medicare Payment Amount |
663847.01 |
Total Medicare Standardized Payment Amount |
705917.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1904 |
Number Of Medicare Beneficiaries With Drug Services |
321 |
Total Drug Submitted ChargeAmount |
402145 |
Total Drug Medicare AllowedAmount |
329299.07 |
Total Drug Medicare PaymentAmount |
254780.45 |
Total Drug Medicare Standardized Payment Amount |
254780.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
6132 |
Number Of Medicare Beneficiaries With Medical Services |
1411 |
Total Medical Submitted Charge Amount |
1374786 |
Total Medical Medicare Allowed Amount |
562927.43 |
Total Medical Medicare Payment Amount |
409066.56 |
Total Medical Medicare Standardized Payment Amount |
451136.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
131 |
Number Of Beneficiaries Age 65 to 74 |
562 |
Number Of Beneficiaries Age 75 to 84 |
487 |
Number Of Beneficiaries Age Greater 84 |
231 |
Number Of Female Beneficiaries |
843 |
Number Of Male Beneficiaries |
568 |
Number Of Non Hispanic White Beneficiaries |
1216 |
Number Of Black or African American Beneficiaries |
152 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3895 |