National Provider Identifier [NPI]: |
1164478921 |
Last Name Of The Provider |
PEARL |
First Name Of The Provider |
FRANK |
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 |
1150 N 35TH AVE |
Street Address 2 Of The Provider |
SUITE 605 |
City Of The Provider |
HOLLYWOOD |
Zip Code Of The Provider |
330215424 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
3005 |
Number Of Medicare Beneficiaries |
312 |
Total Submitted Charge Amount |
270988.28 |
Total Medicare Allowed Amount |
111329.8 |
Total Medicare Payment Amount |
86717.65 |
Total Medicare Standardized Payment Amount |
83974.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
58 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
3570 |
Total Drug Medicare AllowedAmount |
1512.82 |
Total Drug Medicare PaymentAmount |
1344.1 |
Total Drug Medicare Standardized Payment Amount |
1344.1 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2947 |
Number Of Medicare Beneficiaries With Medical Services |
312 |
Total Medical Submitted Charge Amount |
267418.28 |
Total Medical Medicare Allowed Amount |
109816.98 |
Total Medical Medicare Payment Amount |
85373.55 |
Total Medical Medicare Standardized Payment Amount |
82630.48 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
30 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
153 |
Number Of Male Beneficiaries |
159 |
Number Of Non Hispanic White Beneficiaries |
245 |
Number Of Black or African American Beneficiaries |
29 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
237 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
21 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8265 |