National Provider Identifier [NPI]: |
1538173786 |
Last Name Of The Provider |
ELIAS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
63 E 3RD ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
APOPKA |
Zip Code Of The Provider |
327034235 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
2808 |
Number Of Medicare Beneficiaries |
444 |
Total Submitted Charge Amount |
217123 |
Total Medicare Allowed Amount |
166856.62 |
Total Medicare Payment Amount |
124499.37 |
Total Medicare Standardized Payment Amount |
126011.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
327 |
Number Of Medicare Beneficiaries With Drug Services |
200 |
Total Drug Submitted ChargeAmount |
9385 |
Total Drug Medicare AllowedAmount |
7325.47 |
Total Drug Medicare PaymentAmount |
7114.17 |
Total Drug Medicare Standardized Payment Amount |
7114.17 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2481 |
Number Of Medicare Beneficiaries With Medical Services |
444 |
Total Medical Submitted Charge Amount |
207738 |
Total Medical Medicare Allowed Amount |
159531.15 |
Total Medical Medicare Payment Amount |
117385.2 |
Total Medical Medicare Standardized Payment Amount |
118897.81 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
215 |
Number Of Beneficiaries Age 75 to 84 |
139 |
Number Of Beneficiaries Age Greater 84 |
66 |
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
220 |
Number Of Non Hispanic White Beneficiaries |
389 |
Number Of Black or African American Beneficiaries |
38 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
420 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
24 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1527 |