National Provider Identifier [NPI]: |
1851551535 |
Last Name Of The Provider |
PERETZ |
First Name Of The Provider |
JEFFREY |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5671 PEACHTREE DUNWOODY RD NE |
Street Address 2 Of The Provider |
SUITE 700 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303425000 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
3545 |
Number Of Medicare Beneficiaries |
613 |
Total Submitted Charge Amount |
1229068.4 |
Total Medicare Allowed Amount |
332846.68 |
Total Medicare Payment Amount |
250885.63 |
Total Medicare Standardized Payment Amount |
250893.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
1163 |
Number Of Medicare Beneficiaries With Drug Services |
206 |
Total Drug Submitted ChargeAmount |
57474 |
Total Drug Medicare AllowedAmount |
15470.31 |
Total Drug Medicare PaymentAmount |
11782.95 |
Total Drug Medicare Standardized Payment Amount |
11782.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
2382 |
Number Of Medicare Beneficiaries With Medical Services |
613 |
Total Medical Submitted Charge Amount |
1171594.4 |
Total Medical Medicare Allowed Amount |
317376.37 |
Total Medical Medicare Payment Amount |
239102.68 |
Total Medical Medicare Standardized Payment Amount |
239110.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
43 |
Number Of Beneficiaries Age 65 to 74 |
286 |
Number Of Beneficiaries Age 75 to 84 |
184 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
389 |
Number Of Male Beneficiaries |
224 |
Number Of Non Hispanic White Beneficiaries |
521 |
Number Of Black or African American Beneficiaries |
57 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
558 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
34 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2896 |