National Provider Identifier [NPI]: |
1346282399 |
Last Name Of The Provider |
MYERSON |
First Name Of The Provider |
GARY |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
980 JOHNSON FERRY RD NE |
Street Address 2 Of The Provider |
SUITE 220 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303421626 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
47 |
Number Of Services |
91826 |
Number Of Medicare Beneficiaries |
991 |
Total Submitted Charge Amount |
4641685 |
Total Medicare Allowed Amount |
3112966.79 |
Total Medicare Payment Amount |
2368631.41 |
Total Medicare Standardized Payment Amount |
2365169.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
86064 |
Number Of Medicare Beneficiaries With Drug Services |
590 |
Total Drug Submitted ChargeAmount |
3661502 |
Total Drug Medicare AllowedAmount |
2660865.75 |
Total Drug Medicare PaymentAmount |
2037346.08 |
Total Drug Medicare Standardized Payment Amount |
2037346.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
5762 |
Number Of Medicare Beneficiaries With Medical Services |
991 |
Total Medical Submitted Charge Amount |
980183 |
Total Medical Medicare Allowed Amount |
452101.04 |
Total Medical Medicare Payment Amount |
331285.33 |
Total Medical Medicare Standardized Payment Amount |
327823.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
484 |
Number Of Beneficiaries Age 75 to 84 |
319 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
746 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
894 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
952 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
19 |
Percent Of With Hyperlipidemia |
51 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
30 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2028 |