National Provider Identifier [NPI]: |
1548370794 |
Last Name Of The Provider |
CORNELL |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
450 N BEDFORD DRIVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902104324 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
6314 |
Number Of Medicare Beneficiaries |
1538 |
Total Submitted Charge Amount |
1992870 |
Total Medicare Allowed Amount |
774147.18 |
Total Medicare Payment Amount |
577825.19 |
Total Medicare Standardized Payment Amount |
528234.33 |
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 |
36 |
Number Of Medical Services |
6314 |
Number Of Medicare Beneficiaries With Medical Services |
1538 |
Total Medical Submitted Charge Amount |
1992870 |
Total Medical Medicare Allowed Amount |
774147.18 |
Total Medical Medicare Payment Amount |
577825.19 |
Total Medical Medicare Standardized Payment Amount |
528234.33 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
27 |
Number Of Beneficiaries Age 65 to 74 |
627 |
Number Of Beneficiaries Age 75 to 84 |
552 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
980 |
Number Of Male Beneficiaries |
558 |
Number Of Non Hispanic White Beneficiaries |
1373 |
Number Of Black or African American Beneficiaries |
31 |
Number Of AsianPacific Islander Beneficiaries |
38 |
Number Of Hispanic Beneficiaries |
43 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
53 |
Number Of Beneficiaries With Medicare Only Entitlement |
1461 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
77 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.02 |