National Provider Identifier [NPI]: |
1558568840 |
Last Name Of The Provider |
PERDEI |
First Name Of The Provider |
CLAUDIA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
15200 JOG RD |
Street Address 2 Of The Provider |
A3 |
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334461247 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1248 |
Number Of Medicare Beneficiaries |
240 |
Total Submitted Charge Amount |
131776.28 |
Total Medicare Allowed Amount |
113291.44 |
Total Medicare Payment Amount |
86709.81 |
Total Medicare Standardized Payment Amount |
83031.55 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
47 |
Number Of Medicare Beneficiaries With Drug Services |
46 |
Total Drug Submitted ChargeAmount |
3339 |
Total Drug Medicare AllowedAmount |
1438.12 |
Total Drug Medicare PaymentAmount |
1409.22 |
Total Drug Medicare Standardized Payment Amount |
1409.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1201 |
Number Of Medicare Beneficiaries With Medical Services |
240 |
Total Medical Submitted Charge Amount |
128437.28 |
Total Medical Medicare Allowed Amount |
111853.32 |
Total Medical Medicare Payment Amount |
85300.59 |
Total Medical Medicare Standardized Payment Amount |
81622.33 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
68 |
Number Of Beneficiaries Age 75 to 84 |
75 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
160 |
Number Of Male Beneficiaries |
80 |
Number Of Non Hispanic White Beneficiaries |
221 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
216 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
24 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5976 |