National Provider Identifier [NPI]: |
1861667370 |
Last Name Of The Provider |
ANDREWS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
909 SAHARA TRL |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
YOUNGSTOWN |
Zip Code Of The Provider |
445143691 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
4647 |
Number Of Medicare Beneficiaries |
243 |
Total Submitted Charge Amount |
1205608 |
Total Medicare Allowed Amount |
272273.85 |
Total Medicare Payment Amount |
205279.38 |
Total Medicare Standardized Payment Amount |
205556.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2397 |
Number Of Medicare Beneficiaries With Drug Services |
204 |
Total Drug Submitted ChargeAmount |
19264 |
Total Drug Medicare AllowedAmount |
4026.52 |
Total Drug Medicare PaymentAmount |
3090.82 |
Total Drug Medicare Standardized Payment Amount |
3090.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
48 |
Number Of Medical Services |
2250 |
Number Of Medicare Beneficiaries With Medical Services |
243 |
Total Medical Submitted Charge Amount |
1186344 |
Total Medical Medicare Allowed Amount |
268247.33 |
Total Medical Medicare Payment Amount |
202188.56 |
Total Medical Medicare Standardized Payment Amount |
202466.03 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
57 |
Number Of Beneficiaries Age 65 to 74 |
95 |
Number Of Beneficiaries Age 75 to 84 |
59 |
Number Of Beneficiaries Age Greater 84 |
32 |
Number Of Female Beneficiaries |
151 |
Number Of Male Beneficiaries |
92 |
Number Of Non Hispanic White Beneficiaries |
223 |
Number Of Black or African American Beneficiaries |
|
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 |
187 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5289 |