National Provider Identifier [NPI]: |
1801865381 |
Last Name Of The Provider |
PERLEY |
First Name Of The Provider |
JULES |
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 |
3650 SOUTH ST |
Street Address 2 Of The Provider |
SUITE 408 |
City Of The Provider |
LAKEWOOD |
Zip Code Of The Provider |
907121502 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
53 |
Number Of Services |
13392 |
Number Of Medicare Beneficiaries |
606 |
Total Submitted Charge Amount |
1369115 |
Total Medicare Allowed Amount |
787749.24 |
Total Medicare Payment Amount |
602945.4 |
Total Medicare Standardized Payment Amount |
576718.21 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
5025 |
Number Of Medicare Beneficiaries With Drug Services |
439 |
Total Drug Submitted ChargeAmount |
615956 |
Total Drug Medicare AllowedAmount |
267619.69 |
Total Drug Medicare PaymentAmount |
206359.39 |
Total Drug Medicare Standardized Payment Amount |
206359.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
8367 |
Number Of Medicare Beneficiaries With Medical Services |
606 |
Total Medical Submitted Charge Amount |
753159 |
Total Medical Medicare Allowed Amount |
520129.55 |
Total Medical Medicare Payment Amount |
396586.01 |
Total Medical Medicare Standardized Payment Amount |
370358.82 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
223 |
Number Of Beneficiaries Age 75 to 84 |
192 |
Number Of Beneficiaries Age Greater 84 |
84 |
Number Of Female Beneficiaries |
135 |
Number Of Male Beneficiaries |
471 |
Number Of Non Hispanic White Beneficiaries |
213 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
56 |
Number Of Hispanic Beneficiaries |
233 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
217 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
389 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7294 |