| National Provider Identifier [NPI]: | 1679588255 |
| Last Name Of The Provider | LOVELY |
| First Name Of The Provider | PERRY |
| Middle Initial Of The Provider | |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3909 MCFARLAND BLVD |
| Street Address 2 Of The Provider | |
| City Of The Provider | NORTHPORT |
| Zip Code Of The Provider | 354762838 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Family Practice |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 140 |
| Number Of Services | 15150 |
| Number Of Medicare Beneficiaries | 2157 |
| Total Submitted Charge Amount | 914155 |
| Total Medicare Allowed Amount | 410289.46 |
| Total Medicare Payment Amount | 289175.87 |
| Total Medicare Standardized Payment Amount | 311024.95 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 29 |
| Number Of Drug Services | 6793 |
| Number Of Medicare Beneficiaries With Drug Services | 1198 |
| Total Drug Submitted ChargeAmount | 98308 |
| Total Drug Medicare AllowedAmount | 11948.68 |
| Total Drug Medicare PaymentAmount | 8642.21 |
| Total Drug Medicare Standardized Payment Amount | 8642.21 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 111 |
| Number Of Medical Services | 8357 |
| Number Of Medicare Beneficiaries With Medical Services | 2157 |
| Total Medical Submitted Charge Amount | 815847 |
| Total Medical Medicare Allowed Amount | 398340.78 |
| Total Medical Medicare Payment Amount | 280533.66 |
| Total Medical Medicare Standardized Payment Amount | 302382.74 |
| Average Age Of Beneficiaries | 68 |
| Number Of Beneficiaries Age Less65 | 586 |
| Number Of Beneficiaries Age 65 to 74 | 903 |
| Number Of Beneficiaries Age 75 to 84 | 503 |
| Number Of Beneficiaries Age Greater 84 | 165 |
| Number Of Female Beneficiaries | 1315 |
| Number Of Male Beneficiaries | 842 |
| Number Of Non Hispanic White Beneficiaries | 1768 |
| Number Of Black or African American Beneficiaries | 365 |
| 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 | 1885 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 272 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 9 |
| Percent Of With Heart Failure | 16 |
| Percent Of With Chronic Kidney Disease | 18 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 33 |
| Percent Of With Hyperlipidemia | 61 |
| Percent Of With Hypertension | 74 |
| Percent Of With Ischemic Heart Disease | 30 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 52 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.0296 |