National Provider Identifier [NPI]: |
1194799502 |
Last Name Of The Provider |
DANIEL |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2623 S SEACREST BLVD |
Street Address 2 Of The Provider |
SUITE 210 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334357501 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
4717 |
Number Of Medicare Beneficiaries |
1409 |
Total Submitted Charge Amount |
1945885.44 |
Total Medicare Allowed Amount |
558894.36 |
Total Medicare Payment Amount |
431925.13 |
Total Medicare Standardized Payment Amount |
412826.53 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
448 |
Number Of Medicare Beneficiaries With Drug Services |
105 |
Total Drug Submitted ChargeAmount |
90940 |
Total Drug Medicare AllowedAmount |
18262.72 |
Total Drug Medicare PaymentAmount |
14317.58 |
Total Drug Medicare Standardized Payment Amount |
14317.58 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
4269 |
Number Of Medicare Beneficiaries With Medical Services |
1409 |
Total Medical Submitted Charge Amount |
1854945.44 |
Total Medical Medicare Allowed Amount |
540631.64 |
Total Medical Medicare Payment Amount |
417607.55 |
Total Medical Medicare Standardized Payment Amount |
398508.95 |
Average Age Of Beneficiaries |
80 |
Number Of Beneficiaries Age Less65 |
73 |
Number Of Beneficiaries Age 65 to 74 |
322 |
Number Of Beneficiaries Age 75 to 84 |
513 |
Number Of Beneficiaries Age Greater 84 |
501 |
Number Of Female Beneficiaries |
711 |
Number Of Male Beneficiaries |
698 |
Number Of Non Hispanic White Beneficiaries |
1307 |
Number Of Black or African American Beneficiaries |
43 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1248 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
161 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
45 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
52 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.038 |