National Provider Identifier [NPI]: |
1801066063 |
Last Name Of The Provider |
PERKIN |
First Name Of The Provider |
HUGH |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1310 LAS TABLAS RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
TEMPLETON |
Zip Code Of The Provider |
934659737 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
16794 |
Number Of Medicare Beneficiaries |
1275 |
Total Submitted Charge Amount |
1304835.8 |
Total Medicare Allowed Amount |
852833.02 |
Total Medicare Payment Amount |
653329.18 |
Total Medicare Standardized Payment Amount |
644798.81 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
10654 |
Number Of Medicare Beneficiaries With Drug Services |
141 |
Total Drug Submitted ChargeAmount |
521111.8 |
Total Drug Medicare AllowedAmount |
378176.49 |
Total Drug Medicare PaymentAmount |
295320.99 |
Total Drug Medicare Standardized Payment Amount |
295320.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
116 |
Number Of Medical Services |
6140 |
Number Of Medicare Beneficiaries With Medical Services |
1274 |
Total Medical Submitted Charge Amount |
783724 |
Total Medical Medicare Allowed Amount |
474656.53 |
Total Medical Medicare Payment Amount |
358008.19 |
Total Medical Medicare Standardized Payment Amount |
349477.82 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
567 |
Number Of Beneficiaries Age 75 to 84 |
405 |
Number Of Beneficiaries Age Greater 84 |
198 |
Number Of Female Beneficiaries |
408 |
Number Of Male Beneficiaries |
867 |
Number Of Non Hispanic White Beneficiaries |
1147 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
90 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
1128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
147 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
45 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1221 |