National Provider Identifier [NPI]: |
1619167087 |
Last Name Of The Provider |
PEKEROL |
First Name Of The Provider |
MEHMET |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9201 W SUNSET BLVD |
Street Address 2 Of The Provider |
STE 616 |
City Of The Provider |
WEST HOLLYWOOD |
Zip Code Of The Provider |
900693701 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
22 |
Number Of Services |
14578 |
Number Of Medicare Beneficiaries |
458 |
Total Submitted Charge Amount |
4749925 |
Total Medicare Allowed Amount |
1046335.96 |
Total Medicare Payment Amount |
815838 |
Total Medicare Standardized Payment Amount |
814483.13 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
5798 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
580300 |
Total Drug Medicare AllowedAmount |
174050.44 |
Total Drug Medicare PaymentAmount |
136119.29 |
Total Drug Medicare Standardized Payment Amount |
136119.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
17 |
Number Of Medical Services |
8780 |
Number Of Medicare Beneficiaries With Medical Services |
458 |
Total Medical Submitted Charge Amount |
4169625 |
Total Medical Medicare Allowed Amount |
872285.52 |
Total Medical Medicare Payment Amount |
679718.71 |
Total Medical Medicare Standardized Payment Amount |
678363.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
129 |
Number Of Beneficiaries Age 65 to 74 |
130 |
Number Of Beneficiaries Age 75 to 84 |
112 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
220 |
Number Of Male Beneficiaries |
238 |
Number Of Non Hispanic White Beneficiaries |
143 |
Number Of Black or African American Beneficiaries |
185 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
95 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
81 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
377 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
59 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
75 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
65 |
Percent Of With Depression |
49 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
38 |
Percent Of With Stroke |
23 |
Average HCC Risk Score Of Beneficiaries |
4.4976 |