National Provider Identifier [NPI]: |
1407892326 |
Last Name Of The Provider |
POHLEL |
First Name Of The Provider |
FERDOS |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1199 PRINCE AVE |
Street Address 2 Of The Provider |
MSB 2ND FLOOR |
City Of The Provider |
ATHENS |
Zip Code Of The Provider |
306062797 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
4360 |
Number Of Medicare Beneficiaries |
1753 |
Total Submitted Charge Amount |
800928.75 |
Total Medicare Allowed Amount |
383605.03 |
Total Medicare Payment Amount |
291188.97 |
Total Medicare Standardized Payment Amount |
313286.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
340 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
27200 |
Total Drug Medicare AllowedAmount |
18011.17 |
Total Drug Medicare PaymentAmount |
14120.55 |
Total Drug Medicare Standardized Payment Amount |
14120.55 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
87 |
Number Of Medical Services |
4020 |
Number Of Medicare Beneficiaries With Medical Services |
1753 |
Total Medical Submitted Charge Amount |
773728.75 |
Total Medical Medicare Allowed Amount |
365593.86 |
Total Medical Medicare Payment Amount |
277068.42 |
Total Medical Medicare Standardized Payment Amount |
299165.6 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
295 |
Number Of Beneficiaries Age 65 to 74 |
673 |
Number Of Beneficiaries Age 75 to 84 |
535 |
Number Of Beneficiaries Age Greater 84 |
250 |
Number Of Female Beneficiaries |
887 |
Number Of Male Beneficiaries |
866 |
Number Of Non Hispanic White Beneficiaries |
1481 |
Number Of Black or African American Beneficiaries |
231 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1287 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
466 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
39 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7941 |