National Provider Identifier [NPI]: |
1720197858 |
Last Name Of The Provider |
PERME |
First Name Of The Provider |
CHARLES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
7500 STATE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CINCINNATI |
Zip Code Of The Provider |
452552439 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
166 |
Number Of Services |
3096 |
Number Of Medicare Beneficiaries |
1666 |
Total Submitted Charge Amount |
117257.04 |
Total Medicare Allowed Amount |
101559.86 |
Total Medicare Payment Amount |
82327.53 |
Total Medicare Standardized Payment Amount |
85653.71 |
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 |
166 |
Number Of Medical Services |
3096 |
Number Of Medicare Beneficiaries With Medical Services |
1666 |
Total Medical Submitted Charge Amount |
117257.04 |
Total Medical Medicare Allowed Amount |
101559.86 |
Total Medical Medicare Payment Amount |
82327.53 |
Total Medical Medicare Standardized Payment Amount |
85653.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
275 |
Number Of Beneficiaries Age 65 to 74 |
713 |
Number Of Beneficiaries Age 75 to 84 |
454 |
Number Of Beneficiaries Age Greater 84 |
224 |
Number Of Female Beneficiaries |
1199 |
Number Of Male Beneficiaries |
467 |
Number Of Non Hispanic White Beneficiaries |
1610 |
Number Of Black or African American Beneficiaries |
22 |
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 |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
1321 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
345 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5247 |