National Provider Identifier [NPI]: |
1427001916 |
Last Name Of The Provider |
PERDIGAO |
First Name Of The Provider |
JOSPEH |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1202 S TYLER ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COVINGTON |
Zip Code Of The Provider |
704332330 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
182 |
Number Of Services |
5271 |
Number Of Medicare Beneficiaries |
2931 |
Total Submitted Charge Amount |
196612 |
Total Medicare Allowed Amount |
126664.8 |
Total Medicare Payment Amount |
97953.9 |
Total Medicare Standardized Payment Amount |
103789.25 |
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 |
182 |
Number Of Medical Services |
5271 |
Number Of Medicare Beneficiaries With Medical Services |
2931 |
Total Medical Submitted Charge Amount |
196612 |
Total Medical Medicare Allowed Amount |
126664.8 |
Total Medical Medicare Payment Amount |
97953.9 |
Total Medical Medicare Standardized Payment Amount |
103789.25 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
709 |
Number Of Beneficiaries Age 65 to 74 |
1086 |
Number Of Beneficiaries Age 75 to 84 |
716 |
Number Of Beneficiaries Age Greater 84 |
420 |
Number Of Female Beneficiaries |
1837 |
Number Of Male Beneficiaries |
1094 |
Number Of Non Hispanic White Beneficiaries |
2161 |
Number Of Black or African American Beneficiaries |
709 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1713 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1218 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.9396 |