National Provider Identifier [NPI]: |
1356339188 |
Last Name Of The Provider |
PERKINS |
First Name Of The Provider |
ANTHONY |
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 |
1305 N ELM ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
424202783 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
240 |
Number Of Services |
12197 |
Number Of Medicare Beneficiaries |
3977 |
Total Submitted Charge Amount |
1218887 |
Total Medicare Allowed Amount |
373124.45 |
Total Medicare Payment Amount |
268542.03 |
Total Medicare Standardized Payment Amount |
286438.27 |
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 |
240 |
Number Of Medical Services |
12197 |
Number Of Medicare Beneficiaries With Medical Services |
3977 |
Total Medical Submitted Charge Amount |
1218887 |
Total Medical Medicare Allowed Amount |
373124.45 |
Total Medical Medicare Payment Amount |
268542.03 |
Total Medical Medicare Standardized Payment Amount |
286438.27 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
1075 |
Number Of Beneficiaries Age 65 to 74 |
1447 |
Number Of Beneficiaries Age 75 to 84 |
950 |
Number Of Beneficiaries Age Greater 84 |
505 |
Number Of Female Beneficiaries |
2555 |
Number Of Male Beneficiaries |
1422 |
Number Of Non Hispanic White Beneficiaries |
3648 |
Number Of Black or African American Beneficiaries |
290 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
17 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2705 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1272 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.2722 |