National Provider Identifier [NPI]: |
1821094038 |
Last Name Of The Provider |
GEORGES |
First Name Of The Provider |
ANGELO |
Middle Initial Of The Provider |
N |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
40 MEDICAL PARK |
Street Address 2 Of The Provider |
STE 501 |
City Of The Provider |
WHEELING |
Zip Code Of The Provider |
260036392 |
State Code Of The Provider |
WV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
1930 |
Number Of Medicare Beneficiaries |
822 |
Total Submitted Charge Amount |
132250.01 |
Total Medicare Allowed Amount |
69415.82 |
Total Medicare Payment Amount |
50533.52 |
Total Medicare Standardized Payment Amount |
52585.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
259 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
6652.5 |
Total Drug Medicare AllowedAmount |
3158.97 |
Total Drug Medicare PaymentAmount |
2492.5 |
Total Drug Medicare Standardized Payment Amount |
2492.5 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
1671 |
Number Of Medicare Beneficiaries With Medical Services |
822 |
Total Medical Submitted Charge Amount |
125597.51 |
Total Medical Medicare Allowed Amount |
66256.85 |
Total Medical Medicare Payment Amount |
48041.02 |
Total Medical Medicare Standardized Payment Amount |
50093.38 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
126 |
Number Of Beneficiaries Age 65 to 74 |
305 |
Number Of Beneficiaries Age 75 to 84 |
262 |
Number Of Beneficiaries Age Greater 84 |
129 |
Number Of Female Beneficiaries |
430 |
Number Of Male Beneficiaries |
392 |
Number Of Non Hispanic White Beneficiaries |
787 |
Number Of Black or African American Beneficiaries |
16 |
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 |
619 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
203 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.5687 |