National Provider Identifier [NPI]: |
1083737837 |
Last Name Of The Provider |
ZIMMERMAN |
First Name Of The Provider |
PETER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1352 ROSE GARDEN DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
METAIRIE |
Zip Code Of The Provider |
700051049 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
9110 |
Number Of Medicare Beneficiaries |
268 |
Total Submitted Charge Amount |
1450967 |
Total Medicare Allowed Amount |
441173.93 |
Total Medicare Payment Amount |
333205.25 |
Total Medicare Standardized Payment Amount |
338784.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
5496 |
Number Of Medicare Beneficiaries With Drug Services |
177 |
Total Drug Submitted ChargeAmount |
92187 |
Total Drug Medicare AllowedAmount |
8099.83 |
Total Drug Medicare PaymentAmount |
6327 |
Total Drug Medicare Standardized Payment Amount |
6327 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
3614 |
Number Of Medicare Beneficiaries With Medical Services |
268 |
Total Medical Submitted Charge Amount |
1358780 |
Total Medical Medicare Allowed Amount |
433074.1 |
Total Medical Medicare Payment Amount |
326878.25 |
Total Medical Medicare Standardized Payment Amount |
332457.38 |
Average Age Of Beneficiaries |
57 |
Number Of Beneficiaries Age Less65 |
197 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
147 |
Number Of Male Beneficiaries |
121 |
Number Of Non Hispanic White Beneficiaries |
171 |
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 |
75 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
15 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
46 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.2833 |