National Provider Identifier [NPI]: |
1285678664 |
Last Name Of The Provider |
GROLEAU |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
203 N LIME ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
LANCASTER |
Zip Code Of The Provider |
176022729 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
76 |
Number Of Services |
11340 |
Number Of Medicare Beneficiaries |
1577 |
Total Submitted Charge Amount |
665178 |
Total Medicare Allowed Amount |
549149.77 |
Total Medicare Payment Amount |
396804.62 |
Total Medicare Standardized Payment Amount |
409257.98 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
1154 |
Number Of Medicare Beneficiaries With Drug Services |
193 |
Total Drug Submitted ChargeAmount |
7897.5 |
Total Drug Medicare AllowedAmount |
4993.73 |
Total Drug Medicare PaymentAmount |
3749.01 |
Total Drug Medicare Standardized Payment Amount |
3749.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
74 |
Number Of Medical Services |
10186 |
Number Of Medicare Beneficiaries With Medical Services |
1577 |
Total Medical Submitted Charge Amount |
657280.5 |
Total Medical Medicare Allowed Amount |
544156.04 |
Total Medical Medicare Payment Amount |
393055.61 |
Total Medical Medicare Standardized Payment Amount |
405508.97 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
603 |
Number Of Beneficiaries Age 75 to 84 |
560 |
Number Of Beneficiaries Age Greater 84 |
354 |
Number Of Female Beneficiaries |
801 |
Number Of Male Beneficiaries |
776 |
Number Of Non Hispanic White Beneficiaries |
1532 |
Number Of Black or African American Beneficiaries |
|
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 |
1510 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
67 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.0633 |