National Provider Identifier [NPI]: |
1821161837 |
Last Name Of The Provider |
PEARLSTEIN |
First Name Of The Provider |
TODD |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D, |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 S FRANKLIN DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
TROY |
Zip Code Of The Provider |
360813838 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
124 |
Number Of Services |
12397 |
Number Of Medicare Beneficiaries |
546 |
Total Submitted Charge Amount |
427498.7 |
Total Medicare Allowed Amount |
314259.42 |
Total Medicare Payment Amount |
232725.22 |
Total Medicare Standardized Payment Amount |
251666.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
7154 |
Number Of Medicare Beneficiaries With Drug Services |
303 |
Total Drug Submitted ChargeAmount |
133349.4 |
Total Drug Medicare AllowedAmount |
97265.42 |
Total Drug Medicare PaymentAmount |
74074.06 |
Total Drug Medicare Standardized Payment Amount |
74074.06 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
5243 |
Number Of Medicare Beneficiaries With Medical Services |
546 |
Total Medical Submitted Charge Amount |
294149.3 |
Total Medical Medicare Allowed Amount |
216994 |
Total Medical Medicare Payment Amount |
158651.16 |
Total Medical Medicare Standardized Payment Amount |
177592.25 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
148 |
Number Of Beneficiaries Age Greater 84 |
90 |
Number Of Female Beneficiaries |
296 |
Number Of Male Beneficiaries |
250 |
Number Of Non Hispanic White Beneficiaries |
476 |
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 |
473 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0953 |