Medicare Facts for Dr. James L. Pearle, MD


National Provider Identifier [NPI]: 1982783940
Last Name Of The Provider PEARLE
First Name Of The Provider JAMES
Middle Initial Of The Provider L
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 220 LAGUNA RD
Street Address 2 Of The Provider SUITE 2
City Of The Provider FULLERTON
Zip Code Of The Provider 928352523
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 2974
Number Of Medicare Beneficiaries 468
Total Submitted Charge Amount 277026.32
Total Medicare Allowed Amount 273990.19
Total Medicare Payment Amount 211159.88
Total Medicare Standardized Payment Amount 193737.82
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 60
Number Of Medicare Beneficiaries With Drug Services 52
Total Drug Submitted ChargeAmount 1621.23
Total Drug Medicare AllowedAmount 1596.93
Total Drug Medicare PaymentAmount 1564.19
Total Drug Medicare Standardized Payment Amount 1564.19
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 33
Number Of Medical Services 2914
Number Of Medicare Beneficiaries With Medical Services 468
Total Medical Submitted Charge Amount 275405.09
Total Medical Medicare Allowed Amount 272393.26
Total Medical Medicare Payment Amount 209595.69
Total Medical Medicare Standardized Payment Amount 192173.63
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 44
Number Of Beneficiaries Age 65 to 74 170
Number Of Beneficiaries Age 75 to 84 171
Number Of Beneficiaries Age Greater 84 83
Number Of Female Beneficiaries 228
Number Of Male Beneficiaries 240
Number Of Non Hispanic White Beneficiaries 358
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 45
Number Of Hispanic Beneficiaries 48
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 353
Number Of Beneficiaries With Medicare Medicaid Entitlement 115
Percent Of With Atrial Fibrillation 27
Percent Of With Alzheimers Disease or Dementia 19
Percent Of With Asthma 29
Percent Of With Cancer 15
Percent Of With Heart Failure 43
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 61
Percent Of With Depression 24
Percent Of With Diabetes 43
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 55
Percent Of With Osteoporosis 10
Percent Of With Rheumatoid Arthritis Osteoarthritis 44
Percent Of With Schizophrenia Other PsychoticDisorders 13
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 2.1675

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