National Provider Identifier [NPI]: |
1114952496 |
Last Name Of The Provider |
PERLMUTTER |
First Name Of The Provider |
AARON |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8641 WILSHIRE BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902112900 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Infectious Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
4724 |
Number Of Medicare Beneficiaries |
447 |
Total Submitted Charge Amount |
910080 |
Total Medicare Allowed Amount |
534959.75 |
Total Medicare Payment Amount |
408822.39 |
Total Medicare Standardized Payment Amount |
394200.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
433 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
16455 |
Total Drug Medicare AllowedAmount |
2420.02 |
Total Drug Medicare PaymentAmount |
1992.71 |
Total Drug Medicare Standardized Payment Amount |
1992.71 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
4291 |
Number Of Medicare Beneficiaries With Medical Services |
447 |
Total Medical Submitted Charge Amount |
893625 |
Total Medical Medicare Allowed Amount |
532539.73 |
Total Medical Medicare Payment Amount |
406829.68 |
Total Medical Medicare Standardized Payment Amount |
392207.89 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
133 |
Number Of Beneficiaries Age 65 to 74 |
119 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
193 |
Number Of Male Beneficiaries |
254 |
Number Of Non Hispanic White Beneficiaries |
221 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
21 |
Number Of Hispanic Beneficiaries |
54 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
164 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
283 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
36 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
54 |
Percent Of With Chronic Kidney Disease |
60 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
66 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
17 |
Average HCC Risk Score Of Beneficiaries |
3.267 |