National Provider Identifier [NPI]: |
1437197738 |
Last Name Of The Provider |
PERLMAN |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9825 KENWOOD RD |
Street Address 2 Of The Provider |
SUITE 105 |
City Of The Provider |
BLUE ASH |
Zip Code Of The Provider |
452426251 |
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 |
203 |
Number Of Services |
3903 |
Number Of Medicare Beneficiaries |
2404 |
Total Submitted Charge Amount |
461463 |
Total Medicare Allowed Amount |
151332.02 |
Total Medicare Payment Amount |
118737.88 |
Total Medicare Standardized Payment Amount |
121794.62 |
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 |
203 |
Number Of Medical Services |
3903 |
Number Of Medicare Beneficiaries With Medical Services |
2404 |
Total Medical Submitted Charge Amount |
461463 |
Total Medical Medicare Allowed Amount |
151332.02 |
Total Medical Medicare Payment Amount |
118737.88 |
Total Medical Medicare Standardized Payment Amount |
121794.62 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
406 |
Number Of Beneficiaries Age 65 to 74 |
987 |
Number Of Beneficiaries Age 75 to 84 |
679 |
Number Of Beneficiaries Age Greater 84 |
332 |
Number Of Female Beneficiaries |
1712 |
Number Of Male Beneficiaries |
692 |
Number Of Non Hispanic White Beneficiaries |
1946 |
Number Of Black or African American Beneficiaries |
396 |
Number Of AsianPacific Islander Beneficiaries |
20 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1936 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
468 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5884 |