National Provider Identifier [NPI]: |
1679644371 |
Last Name Of The Provider |
GEORGE |
First Name Of The Provider |
BETSY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
621 N HALL ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752261339 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
3322 |
Number Of Medicare Beneficiaries |
864 |
Total Submitted Charge Amount |
771071 |
Total Medicare Allowed Amount |
320351.88 |
Total Medicare Payment Amount |
237481.13 |
Total Medicare Standardized Payment Amount |
256378.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
442 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
37450 |
Total Drug Medicare AllowedAmount |
23326.3 |
Total Drug Medicare PaymentAmount |
17361.46 |
Total Drug Medicare Standardized Payment Amount |
17361.46 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2880 |
Number Of Medicare Beneficiaries With Medical Services |
864 |
Total Medical Submitted Charge Amount |
733621 |
Total Medical Medicare Allowed Amount |
297025.58 |
Total Medical Medicare Payment Amount |
220119.67 |
Total Medical Medicare Standardized Payment Amount |
239016.57 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
342 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
529 |
Number Of Male Beneficiaries |
335 |
Number Of Non Hispanic White Beneficiaries |
701 |
Number Of Black or African American Beneficiaries |
99 |
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 |
699 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
165 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
63 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.611 |