National Provider Identifier [NPI]: |
1548344500 |
Last Name Of The Provider |
GEORGE |
First Name Of The Provider |
GEETA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2 STOWE RD STE 11 |
Street Address 2 Of The Provider |
|
City Of The Provider |
PEEKSKILL |
Zip Code Of The Provider |
10566 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
41 |
Number Of Services |
16316 |
Number Of Medicare Beneficiaries |
167 |
Total Submitted Charge Amount |
301818.24 |
Total Medicare Allowed Amount |
261424.95 |
Total Medicare Payment Amount |
199753.59 |
Total Medicare Standardized Payment Amount |
175768.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
21 |
Number Of Drug Services |
13880 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
111051.24 |
Total Drug Medicare AllowedAmount |
92114.09 |
Total Drug Medicare PaymentAmount |
72170.36 |
Total Drug Medicare Standardized Payment Amount |
72170.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
20 |
Number Of Medical Services |
2436 |
Number Of Medicare Beneficiaries With Medical Services |
167 |
Total Medical Submitted Charge Amount |
190767 |
Total Medical Medicare Allowed Amount |
169310.86 |
Total Medical Medicare Payment Amount |
127583.23 |
Total Medical Medicare Standardized Payment Amount |
103597.91 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
19 |
Number Of Beneficiaries Age 65 to 74 |
59 |
Number Of Beneficiaries Age 75 to 84 |
53 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
100 |
Number Of Male Beneficiaries |
67 |
Number Of Non Hispanic White Beneficiaries |
134 |
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 |
128 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
39 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
33 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
50 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.9299 |