National Provider Identifier [NPI]: |
1972505238 |
Last Name Of The Provider |
PERLSTEIN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4414 14 AVENUE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BROOKLYN |
Zip Code Of The Provider |
112192104 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
2425 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
148733.01 |
Total Medicare Allowed Amount |
133062.26 |
Total Medicare Payment Amount |
96862.41 |
Total Medicare Standardized Payment Amount |
82499.71 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
14 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
125.5 |
Total Drug Medicare AllowedAmount |
73.16 |
Total Drug Medicare PaymentAmount |
57.37 |
Total Drug Medicare Standardized Payment Amount |
57.37 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
2411 |
Number Of Medicare Beneficiaries With Medical Services |
557 |
Total Medical Submitted Charge Amount |
148607.51 |
Total Medical Medicare Allowed Amount |
132989.1 |
Total Medical Medicare Payment Amount |
96805.04 |
Total Medical Medicare Standardized Payment Amount |
82442.34 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
55 |
Number Of Beneficiaries Age 65 to 74 |
249 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
325 |
Number Of Male Beneficiaries |
232 |
Number Of Non Hispanic White Beneficiaries |
525 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
388 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
169 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
2 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2832 |