National Provider Identifier [NPI]: |
1851379879 |
Last Name Of The Provider |
PARIDES |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3638 E SOUTHERN AVE |
Street Address 2 Of The Provider |
STE C 108 |
City Of The Provider |
MESA |
Zip Code Of The Provider |
852062563 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
37 |
Number Of Services |
2074 |
Number Of Medicare Beneficiaries |
563 |
Total Submitted Charge Amount |
289935 |
Total Medicare Allowed Amount |
228545.17 |
Total Medicare Payment Amount |
175446.66 |
Total Medicare Standardized Payment Amount |
177733.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
176 |
Number Of Medicare Beneficiaries With Drug Services |
162 |
Total Drug Submitted ChargeAmount |
1165 |
Total Drug Medicare AllowedAmount |
265.07 |
Total Drug Medicare PaymentAmount |
253.44 |
Total Drug Medicare Standardized Payment Amount |
253.44 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
1898 |
Number Of Medicare Beneficiaries With Medical Services |
563 |
Total Medical Submitted Charge Amount |
288770 |
Total Medical Medicare Allowed Amount |
228280.1 |
Total Medical Medicare Payment Amount |
175193.22 |
Total Medical Medicare Standardized Payment Amount |
177479.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
62 |
Number Of Beneficiaries Age 65 to 74 |
295 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
293 |
Number Of Male Beneficiaries |
270 |
Number Of Non Hispanic White Beneficiaries |
520 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
480 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
83 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
24 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8448 |