| National Provider Identifier [NPI]: | 1407835234 |
| Last Name Of The Provider | KALEMERIS |
| First Name Of The Provider | GEORGE |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1620 MEDICAL LN |
| Street Address 2 Of The Provider | SUITE 100 |
| City Of The Provider | FT MYERS |
| Zip Code Of The Provider | 339071143 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Pathology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 26 |
| Number Of Services | 18841 |
| Number Of Medicare Beneficiaries | 9236 |
| Total Submitted Charge Amount | 11584891.56 |
| Total Medicare Allowed Amount | 4005428.48 |
| Total Medicare Payment Amount | 3110144.48 |
| Total Medicare Standardized Payment Amount | 2943329.07 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 0 |
| Number Of Drug Services | 0 |
| Number Of Medicare Beneficiaries With Drug Services | 0 |
| Total Drug Submitted ChargeAmount | 0 |
| Total Drug Medicare AllowedAmount | 0 |
| Total Drug Medicare PaymentAmount | 0 |
| Total Drug Medicare Standardized Payment Amount | 0 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 26 |
| Number Of Medical Services | 18841 |
| Number Of Medicare Beneficiaries With Medical Services | 9236 |
| Total Medical Submitted Charge Amount | 11584891.56 |
| Total Medical Medicare Allowed Amount | 4005428.48 |
| Total Medical Medicare Payment Amount | 3110144.48 |
| Total Medical Medicare Standardized Payment Amount | 2943329.07 |
| Average Age Of Beneficiaries | 76 |
| Number Of Beneficiaries Age Less65 | 340 |
| Number Of Beneficiaries Age 65 to 74 | 3927 |
| Number Of Beneficiaries Age 75 to 84 | 3605 |
| Number Of Beneficiaries Age Greater 84 | 1364 |
| Number Of Female Beneficiaries | 2938 |
| Number Of Male Beneficiaries | 6298 |
| Number Of Non Hispanic White Beneficiaries | 8482 |
| Number Of Black or African American Beneficiaries | 216 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 381 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 111 |
| Number Of Beneficiaries With Medicare Only Entitlement | 8700 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 536 |
| Percent Of With Atrial Fibrillation | 16 |
| Percent Of With Alzheimers Disease or Dementia | 8 |
| Percent Of With Asthma | 4 |
| Percent Of With Cancer | 27 |
| Percent Of With Heart Failure | 14 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 14 |
| Percent Of With Depression | 14 |
| Percent Of With Diabetes | 30 |
| Percent Of With Hyperlipidemia | 70 |
| Percent Of With Hypertension | 70 |
| Percent Of With Ischemic Heart Disease | 44 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 40 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.1955 |