National Provider Identifier [NPI]: |
1295896660 |
Last Name Of The Provider |
GOLDIN |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1825 MARTHA BERRY BLVD NW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROME |
Zip Code Of The Provider |
301651625 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
128 |
Number Of Services |
5976 |
Number Of Medicare Beneficiaries |
1358 |
Total Submitted Charge Amount |
1401126.75 |
Total Medicare Allowed Amount |
353605.83 |
Total Medicare Payment Amount |
263844.23 |
Total Medicare Standardized Payment Amount |
293170.97 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
710 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
950 |
Total Drug Medicare AllowedAmount |
239.6 |
Total Drug Medicare PaymentAmount |
95.34 |
Total Drug Medicare Standardized Payment Amount |
95.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
126 |
Number Of Medical Services |
5266 |
Number Of Medicare Beneficiaries With Medical Services |
1358 |
Total Medical Submitted Charge Amount |
1400176.75 |
Total Medical Medicare Allowed Amount |
353366.23 |
Total Medical Medicare Payment Amount |
263748.89 |
Total Medical Medicare Standardized Payment Amount |
293075.63 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
274 |
Number Of Beneficiaries Age 65 to 74 |
605 |
Number Of Beneficiaries Age 75 to 84 |
392 |
Number Of Beneficiaries Age Greater 84 |
87 |
Number Of Female Beneficiaries |
804 |
Number Of Male Beneficiaries |
554 |
Number Of Non Hispanic White Beneficiaries |
1260 |
Number Of Black or African American Beneficiaries |
78 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1046 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
312 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4639 |