National Provider Identifier [NPI]: |
1811980055 |
Last Name Of The Provider |
SIMONOFF |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
55 WHITCHER ST NE |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
MARIETTA |
Zip Code Of The Provider |
300601155 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
3950 |
Number Of Medicare Beneficiaries |
1525 |
Total Submitted Charge Amount |
568041 |
Total Medicare Allowed Amount |
270401.06 |
Total Medicare Payment Amount |
203806.32 |
Total Medicare Standardized Payment Amount |
204193.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3950 |
Number Of Medicare Beneficiaries With Medical Services |
1525 |
Total Medical Submitted Charge Amount |
568041 |
Total Medical Medicare Allowed Amount |
270401.06 |
Total Medical Medicare Payment Amount |
203806.32 |
Total Medical Medicare Standardized Payment Amount |
204193.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
540 |
Number Of Beneficiaries Age 75 to 84 |
508 |
Number Of Beneficiaries Age Greater 84 |
303 |
Number Of Female Beneficiaries |
829 |
Number Of Male Beneficiaries |
696 |
Number Of Non Hispanic White Beneficiaries |
1313 |
Number Of Black or African American Beneficiaries |
159 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
28 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1274 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
251 |
Percent Of With Atrial Fibrillation |
39 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
50 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
74 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
16 |
Average HCC Risk Score Of Beneficiaries |
2.078 |