National Provider Identifier [NPI]: |
1174500953 |
Last Name Of The Provider |
GERANIOTIS |
First Name Of The Provider |
EVANGELOS |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
110 MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
HYANNIS |
Zip Code Of The Provider |
026013127 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
86 |
Number Of Services |
16525 |
Number Of Medicare Beneficiaries |
1961 |
Total Submitted Charge Amount |
4442891.44 |
Total Medicare Allowed Amount |
1401802.42 |
Total Medicare Payment Amount |
1077190.4 |
Total Medicare Standardized Payment Amount |
1044410.72 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3562 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
551540 |
Total Drug Medicare AllowedAmount |
160191.34 |
Total Drug Medicare PaymentAmount |
125286.94 |
Total Drug Medicare Standardized Payment Amount |
125286.94 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
12963 |
Number Of Medicare Beneficiaries With Medical Services |
1961 |
Total Medical Submitted Charge Amount |
3891351.44 |
Total Medical Medicare Allowed Amount |
1241611.08 |
Total Medical Medicare Payment Amount |
951903.46 |
Total Medical Medicare Standardized Payment Amount |
919123.78 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
641 |
Number Of Beneficiaries Age 75 to 84 |
765 |
Number Of Beneficiaries Age Greater 84 |
468 |
Number Of Female Beneficiaries |
538 |
Number Of Male Beneficiaries |
1423 |
Number Of Non Hispanic White Beneficiaries |
1890 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
28 |
Number Of Beneficiaries With Medicare Only Entitlement |
1795 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
166 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
18 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2094 |