National Provider Identifier [NPI]: |
1316116890 |
Last Name Of The Provider |
GEORGIES |
First Name Of The Provider |
RAMI |
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 |
8001 LORRAINE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
STOCKTON |
Zip Code Of The Provider |
95210 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
5009 |
Number Of Medicare Beneficiaries |
765 |
Total Submitted Charge Amount |
461652.86 |
Total Medicare Allowed Amount |
197291.15 |
Total Medicare Payment Amount |
140880 |
Total Medicare Standardized Payment Amount |
138881.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
2804 |
Number Of Medicare Beneficiaries With Drug Services |
332 |
Total Drug Submitted ChargeAmount |
56961 |
Total Drug Medicare AllowedAmount |
1050.57 |
Total Drug Medicare PaymentAmount |
790.4 |
Total Drug Medicare Standardized Payment Amount |
790.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
2205 |
Number Of Medicare Beneficiaries With Medical Services |
765 |
Total Medical Submitted Charge Amount |
404691.86 |
Total Medical Medicare Allowed Amount |
196240.58 |
Total Medical Medicare Payment Amount |
140089.6 |
Total Medical Medicare Standardized Payment Amount |
138091.3 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
384 |
Number Of Beneficiaries Age 65 to 74 |
224 |
Number Of Beneficiaries Age 75 to 84 |
98 |
Number Of Beneficiaries Age Greater 84 |
59 |
Number Of Female Beneficiaries |
455 |
Number Of Male Beneficiaries |
310 |
Number Of Non Hispanic White Beneficiaries |
298 |
Number Of Black or African American Beneficiaries |
156 |
Number Of AsianPacific Islander Beneficiaries |
109 |
Number Of Hispanic Beneficiaries |
187 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
192 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
573 |
Percent Of With Atrial Fibrillation |
4 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
15 |
Percent Of With Cancer |
4 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1892 |