National Provider Identifier [NPI]: |
1073532198 |
Last Name Of The Provider |
GEORGES |
First Name Of The Provider |
LENA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
701 ENTERPRISE RD E |
Street Address 2 Of The Provider |
SUITE 910 |
City Of The Provider |
SAFETY HARBOR |
Zip Code Of The Provider |
346955350 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
20 |
Number Of Services |
8640 |
Number Of Medicare Beneficiaries |
2170 |
Total Submitted Charge Amount |
448386.13 |
Total Medicare Allowed Amount |
426722.35 |
Total Medicare Payment Amount |
302311.65 |
Total Medicare Standardized Payment Amount |
304130.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
8640 |
Number Of Medicare Beneficiaries With Medical Services |
2170 |
Total Medical Submitted Charge Amount |
448386.13 |
Total Medical Medicare Allowed Amount |
426722.35 |
Total Medical Medicare Payment Amount |
302311.65 |
Total Medical Medicare Standardized Payment Amount |
304130.26 |
Average Age Of Beneficiaries |
83 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
280 |
Number Of Beneficiaries Age 75 to 84 |
534 |
Number Of Beneficiaries Age Greater 84 |
1177 |
Number Of Female Beneficiaries |
1457 |
Number Of Male Beneficiaries |
713 |
Number Of Non Hispanic White Beneficiaries |
1925 |
Number Of Black or African American Beneficiaries |
137 |
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
77 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
710 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1460 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
75 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
45 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
53 |
Percent Of With Diabetes |
39 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.3408 |