National Provider Identifier [NPI]: |
1629039805 |
Last Name Of The Provider |
MORRISON |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
407 W 66TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
RICHFIELD |
Zip Code Of The Provider |
554232374 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
2214 |
Number Of Medicare Beneficiaries |
296 |
Total Submitted Charge Amount |
154204 |
Total Medicare Allowed Amount |
65237.69 |
Total Medicare Payment Amount |
49578.36 |
Total Medicare Standardized Payment Amount |
50450.03 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
98 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
4428 |
Total Drug Medicare AllowedAmount |
2214.22 |
Total Drug Medicare PaymentAmount |
2119.18 |
Total Drug Medicare Standardized Payment Amount |
2119.18 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2116 |
Number Of Medicare Beneficiaries With Medical Services |
295 |
Total Medical Submitted Charge Amount |
149776 |
Total Medical Medicare Allowed Amount |
63023.47 |
Total Medical Medicare Payment Amount |
47459.18 |
Total Medical Medicare Standardized Payment Amount |
48330.85 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
12 |
Number Of Beneficiaries Age 65 to 74 |
86 |
Number Of Beneficiaries Age 75 to 84 |
125 |
Number Of Beneficiaries Age Greater 84 |
73 |
Number Of Female Beneficiaries |
166 |
Number Of Male Beneficiaries |
130 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
285 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
11 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
|
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
18 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
26 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9838 |