National Provider Identifier [NPI]: |
1891739538 |
Last Name Of The Provider |
PARRIES |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2351 CONNECTICUT AVE S |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
SARTELL |
Zip Code Of The Provider |
563772477 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
106 |
Number Of Services |
4240 |
Number Of Medicare Beneficiaries |
425 |
Total Submitted Charge Amount |
503959 |
Total Medicare Allowed Amount |
165520.15 |
Total Medicare Payment Amount |
124971.45 |
Total Medicare Standardized Payment Amount |
126615.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
2488 |
Number Of Medicare Beneficiaries With Drug Services |
45 |
Total Drug Submitted ChargeAmount |
108757 |
Total Drug Medicare AllowedAmount |
37424.92 |
Total Drug Medicare PaymentAmount |
29337.62 |
Total Drug Medicare Standardized Payment Amount |
29337.62 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
95 |
Number Of Medical Services |
1752 |
Number Of Medicare Beneficiaries With Medical Services |
425 |
Total Medical Submitted Charge Amount |
395202 |
Total Medical Medicare Allowed Amount |
128095.23 |
Total Medical Medicare Payment Amount |
95633.83 |
Total Medical Medicare Standardized Payment Amount |
97277.39 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
74 |
Number Of Beneficiaries Age 65 to 74 |
117 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
75 |
Number Of Female Beneficiaries |
103 |
Number Of Male Beneficiaries |
322 |
Number Of Non Hispanic White Beneficiaries |
414 |
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 |
350 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
75 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3678 |