| National Provider Identifier [NPI]: | 1366448789 |
| Last Name Of The Provider | CLEMENT |
| First Name Of The Provider | GEORGE |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | MD. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | BOND CLINIC, P.A. |
| Street Address 2 Of The Provider | 500 EAST CENTRAL AVENUE |
| City Of The Provider | WINTER HAVEN |
| Zip Code Of The Provider | 33880 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Rheumatology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 147 |
| Number Of Services | 203036 |
| Number Of Medicare Beneficiaries | 1551 |
| Total Submitted Charge Amount | 6329236.27 |
| Total Medicare Allowed Amount | 2862130.25 |
| Total Medicare Payment Amount | 2227236.24 |
| Total Medicare Standardized Payment Amount | 2234493.64 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 25 |
| Number Of Drug Services | 188411 |
| Number Of Medicare Beneficiaries With Drug Services | 633 |
| Total Drug Submitted ChargeAmount | 4467023.97 |
| Total Drug Medicare AllowedAmount | 2220720.03 |
| Total Drug Medicare PaymentAmount | 1730425.16 |
| Total Drug Medicare Standardized Payment Amount | 1730425.16 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 122 |
| Number Of Medical Services | 14625 |
| Number Of Medicare Beneficiaries With Medical Services | 1550 |
| Total Medical Submitted Charge Amount | 1862212.3 |
| Total Medical Medicare Allowed Amount | 641410.22 |
| Total Medical Medicare Payment Amount | 496811.08 |
| Total Medical Medicare Standardized Payment Amount | 504068.48 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 107 |
| Number Of Beneficiaries Age 65 to 74 | 660 |
| Number Of Beneficiaries Age 75 to 84 | 590 |
| Number Of Beneficiaries Age Greater 84 | 194 |
| Number Of Female Beneficiaries | 1290 |
| Number Of Male Beneficiaries | 261 |
| Number Of Non Hispanic White Beneficiaries | 1396 |
| Number Of Black or African American Beneficiaries | 83 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 53 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1419 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 132 |
| Percent Of With Atrial Fibrillation | 10 |
| Percent Of With Alzheimers Disease or Dementia | 7 |
| Percent Of With Asthma | 9 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 17 |
| Percent Of With Depression | 21 |
| Percent Of With Diabetes | 29 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 42 |
| Percent Of With Osteoporosis | 38 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 70 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.2322 |