National Provider Identifier [NPI]: |
1831131671 |
Last Name Of The Provider |
GIAROLI |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
620 CROSSOVER ROAD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUPELO |
Zip Code Of The Provider |
388014944 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
212 |
Number Of Services |
21927 |
Number Of Medicare Beneficiaries |
7227 |
Total Submitted Charge Amount |
1656527.36 |
Total Medicare Allowed Amount |
405304.33 |
Total Medicare Payment Amount |
305840.36 |
Total Medicare Standardized Payment Amount |
336564.52 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
11242 |
Number Of Medicare Beneficiaries With Drug Services |
145 |
Total Drug Submitted ChargeAmount |
14084.44 |
Total Drug Medicare AllowedAmount |
3243.46 |
Total Drug Medicare PaymentAmount |
2505.19 |
Total Drug Medicare Standardized Payment Amount |
2505.19 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
209 |
Number Of Medical Services |
10685 |
Number Of Medicare Beneficiaries With Medical Services |
7227 |
Total Medical Submitted Charge Amount |
1642442.92 |
Total Medical Medicare Allowed Amount |
402060.87 |
Total Medical Medicare Payment Amount |
303335.17 |
Total Medical Medicare Standardized Payment Amount |
334059.33 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
1896 |
Number Of Beneficiaries Age 65 to 74 |
2488 |
Number Of Beneficiaries Age 75 to 84 |
1953 |
Number Of Beneficiaries Age Greater 84 |
890 |
Number Of Female Beneficiaries |
4491 |
Number Of Male Beneficiaries |
2736 |
Number Of Non Hispanic White Beneficiaries |
5834 |
Number Of Black or African American Beneficiaries |
1334 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
4327 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
2900 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
42 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
50 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4499 |