National Provider Identifier [NPI]: |
1386628055 |
Last Name Of The Provider |
GEORGE |
First Name Of The Provider |
STEPHEN |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 DORSEY HALL DR |
Street Address 2 Of The Provider |
SUITE 226 |
City Of The Provider |
ELLICOTT CITY |
Zip Code Of The Provider |
210427766 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
77 |
Number Of Services |
13995 |
Number Of Medicare Beneficiaries |
313 |
Total Submitted Charge Amount |
1450205.87 |
Total Medicare Allowed Amount |
521947.09 |
Total Medicare Payment Amount |
404023.02 |
Total Medicare Standardized Payment Amount |
395739.99 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
11436 |
Number Of Medicare Beneficiaries With Drug Services |
199 |
Total Drug Submitted ChargeAmount |
1207523.17 |
Total Drug Medicare AllowedAmount |
388397.73 |
Total Drug Medicare PaymentAmount |
304434 |
Total Drug Medicare Standardized Payment Amount |
304434 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
2559 |
Number Of Medicare Beneficiaries With Medical Services |
313 |
Total Medical Submitted Charge Amount |
242682.7 |
Total Medical Medicare Allowed Amount |
133549.36 |
Total Medical Medicare Payment Amount |
99589.02 |
Total Medical Medicare Standardized Payment Amount |
91305.99 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
89 |
Number Of Beneficiaries Age Greater 84 |
39 |
Number Of Female Beneficiaries |
246 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
252 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
302 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0355 |