National Provider Identifier [NPI]: |
1861695322 |
Last Name Of The Provider |
GOLUB |
First Name Of The Provider |
JOSHUA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
59 EXCUTIVE PARK |
Street Address 2 Of The Provider |
EMORY UNIVERSITY |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
30329 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
6837 |
Number Of Medicare Beneficiaries |
4300 |
Total Submitted Charge Amount |
1200833.28 |
Total Medicare Allowed Amount |
167616.91 |
Total Medicare Payment Amount |
124208.19 |
Total Medicare Standardized Payment Amount |
129031.55 |
Drug Suppress Indicator |
* |
Number Of HCPCS Associated With Drug Services |
|
Number Of Drug Services |
|
Number Of Medicare Beneficiaries With Drug Services |
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Total Drug Submitted ChargeAmount |
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Total Drug Medicare AllowedAmount |
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Total Drug Medicare PaymentAmount |
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Total Drug Medicare Standardized Payment Amount |
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Medical SuppressIndicator |
# |
Number Of HCPCS Associated With MedicalServices |
|
Number Of Medical Services |
|
Number Of Medicare Beneficiaries With Medical Services |
|
Total Medical Submitted Charge Amount |
|
Total Medical Medicare Allowed Amount |
|
Total Medical Medicare Payment Amount |
|
Total Medical Medicare Standardized Payment Amount |
|
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
815 |
Number Of Beneficiaries Age 65 to 74 |
1499 |
Number Of Beneficiaries Age 75 to 84 |
1210 |
Number Of Beneficiaries Age Greater 84 |
776 |
Number Of Female Beneficiaries |
2666 |
Number Of Male Beneficiaries |
1634 |
Number Of Non Hispanic White Beneficiaries |
3556 |
Number Of Black or African American Beneficiaries |
546 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
128 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
41 |
Number Of Beneficiaries With Medicare Only Entitlement |
3051 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1249 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
36 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.7848 |