National Provider Identifier [NPI]: |
1548266067 |
Last Name Of The Provider |
SMYRNIOTIS |
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 |
880 W CENTRAL RD |
Street Address 2 Of The Provider |
STE 7200 |
City Of The Provider |
ARLINGTON HEIGHTS |
Zip Code Of The Provider |
600052382 |
State Code Of The Provider |
IL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
60 |
Number Of Services |
4356 |
Number Of Medicare Beneficiaries |
730 |
Total Submitted Charge Amount |
525721 |
Total Medicare Allowed Amount |
204863.82 |
Total Medicare Payment Amount |
149120.97 |
Total Medicare Standardized Payment Amount |
140045.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
2100 |
Number Of Medicare Beneficiaries With Drug Services |
11 |
Total Drug Submitted ChargeAmount |
2100 |
Total Drug Medicare AllowedAmount |
375.3 |
Total Drug Medicare PaymentAmount |
294.18 |
Total Drug Medicare Standardized Payment Amount |
294.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
59 |
Number Of Medical Services |
2256 |
Number Of Medicare Beneficiaries With Medical Services |
730 |
Total Medical Submitted Charge Amount |
523621 |
Total Medical Medicare Allowed Amount |
204488.52 |
Total Medical Medicare Payment Amount |
148826.79 |
Total Medical Medicare Standardized Payment Amount |
139751.74 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
292 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
133 |
Number Of Female Beneficiaries |
392 |
Number Of Male Beneficiaries |
338 |
Number Of Non Hispanic White Beneficiaries |
690 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
20 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
675 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1022 |