| National Provider Identifier [NPI]: | 1710952486 |
| Last Name Of The Provider | COUTURIER |
| First Name Of The Provider | GEORG |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1149 MAIN ST |
| Street Address 2 Of The Provider | 2ND FLOOR |
| City Of The Provider | THE VILLAGES |
| Zip Code Of The Provider | 321597721 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 109 |
| Number Of Services | 13087 |
| Number Of Medicare Beneficiaries | 2252 |
| Total Submitted Charge Amount | 3353853.36 |
| Total Medicare Allowed Amount | 1502207.3 |
| Total Medicare Payment Amount | 1140679.39 |
| Total Medicare Standardized Payment Amount | 1155751.47 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 3 |
| Number Of Drug Services | 867 |
| Number Of Medicare Beneficiaries With Drug Services | 235 |
| Total Drug Submitted ChargeAmount | 94307.58 |
| Total Drug Medicare AllowedAmount | 43652.47 |
| Total Drug Medicare PaymentAmount | 33646.28 |
| Total Drug Medicare Standardized Payment Amount | 33646.28 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 106 |
| Number Of Medical Services | 12220 |
| Number Of Medicare Beneficiaries With Medical Services | 2252 |
| Total Medical Submitted Charge Amount | 3259545.78 |
| Total Medical Medicare Allowed Amount | 1458554.83 |
| Total Medical Medicare Payment Amount | 1107033.11 |
| Total Medical Medicare Standardized Payment Amount | 1122105.19 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 62 |
| Number Of Beneficiaries Age 65 to 74 | 1027 |
| Number Of Beneficiaries Age 75 to 84 | 860 |
| Number Of Beneficiaries Age Greater 84 | 303 |
| Number Of Female Beneficiaries | 1036 |
| Number Of Male Beneficiaries | 1216 |
| Number Of Non Hispanic White Beneficiaries | 2166 |
| Number Of Black or African American Beneficiaries | 34 |
| 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 | 25 |
| Number Of Beneficiaries With Medicare Only Entitlement | 2178 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 74 |
| Percent Of With Atrial Fibrillation | 33 |
| Percent Of With Alzheimers Disease or Dementia | 12 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 16 |
| Percent Of With Heart Failure | 30 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 22 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 75 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 75 |
| Percent Of With Osteoporosis | 9 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 44 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 12 |
| Average HCC Risk Score Of Beneficiaries | 1.4955 |