National Provider Identifier [NPI]: |
1093758724 |
Last Name Of The Provider |
PURSLEY |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1219 WEST WHEELER PKWY |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
AUGUSTA |
Zip Code Of The Provider |
309091867 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
11397 |
Number Of Medicare Beneficiaries |
1593 |
Total Submitted Charge Amount |
1202532.69 |
Total Medicare Allowed Amount |
817698 |
Total Medicare Payment Amount |
603409.95 |
Total Medicare Standardized Payment Amount |
667720.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
428 |
Number Of Medicare Beneficiaries With Drug Services |
188 |
Total Drug Submitted ChargeAmount |
19256 |
Total Drug Medicare AllowedAmount |
6425.19 |
Total Drug Medicare PaymentAmount |
5844.57 |
Total Drug Medicare Standardized Payment Amount |
5844.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
121 |
Number Of Medical Services |
10969 |
Number Of Medicare Beneficiaries With Medical Services |
1593 |
Total Medical Submitted Charge Amount |
1183276.69 |
Total Medical Medicare Allowed Amount |
811272.81 |
Total Medical Medicare Payment Amount |
597565.38 |
Total Medical Medicare Standardized Payment Amount |
661875.83 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
217 |
Number Of Beneficiaries Age 65 to 74 |
458 |
Number Of Beneficiaries Age 75 to 84 |
491 |
Number Of Beneficiaries Age Greater 84 |
427 |
Number Of Female Beneficiaries |
1023 |
Number Of Male Beneficiaries |
570 |
Number Of Non Hispanic White Beneficiaries |
1131 |
Number Of Black or African American Beneficiaries |
423 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1019 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
574 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
43 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
1.8841 |