National Provider Identifier [NPI]: |
1417044777 |
Last Name Of The Provider |
PERSCHBACHER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10012 KENNERLY RD |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
SAINT LOUIS |
Zip Code Of The Provider |
631282197 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
8553 |
Number Of Medicare Beneficiaries |
4107 |
Total Submitted Charge Amount |
1465644 |
Total Medicare Allowed Amount |
803284.26 |
Total Medicare Payment Amount |
615567.97 |
Total Medicare Standardized Payment Amount |
627938.05 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
437 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
50053 |
Total Drug Medicare AllowedAmount |
23115.11 |
Total Drug Medicare PaymentAmount |
17928.79 |
Total Drug Medicare Standardized Payment Amount |
17928.79 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
8116 |
Number Of Medicare Beneficiaries With Medical Services |
4106 |
Total Medical Submitted Charge Amount |
1415591 |
Total Medical Medicare Allowed Amount |
780169.15 |
Total Medical Medicare Payment Amount |
597639.18 |
Total Medical Medicare Standardized Payment Amount |
610009.26 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
619 |
Number Of Beneficiaries Age 65 to 74 |
1421 |
Number Of Beneficiaries Age 75 to 84 |
1289 |
Number Of Beneficiaries Age Greater 84 |
778 |
Number Of Female Beneficiaries |
2167 |
Number Of Male Beneficiaries |
1940 |
Number Of Non Hispanic White Beneficiaries |
3922 |
Number Of Black or African American Beneficiaries |
80 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
36 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
3430 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
677 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.8368 |