National Provider Identifier [NPI]: |
1194795419 |
Last Name Of The Provider |
GYORKE |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
677 N WILMOT RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857112701 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
10719 |
Number Of Medicare Beneficiaries |
1808 |
Total Submitted Charge Amount |
1879517 |
Total Medicare Allowed Amount |
376248.41 |
Total Medicare Payment Amount |
285480.5 |
Total Medicare Standardized Payment Amount |
294017.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
8112 |
Number Of Medicare Beneficiaries With Drug Services |
292 |
Total Drug Submitted ChargeAmount |
28947 |
Total Drug Medicare AllowedAmount |
9027.44 |
Total Drug Medicare PaymentAmount |
7028.75 |
Total Drug Medicare Standardized Payment Amount |
7028.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
2607 |
Number Of Medicare Beneficiaries With Medical Services |
1805 |
Total Medical Submitted Charge Amount |
1850570 |
Total Medical Medicare Allowed Amount |
367220.97 |
Total Medical Medicare Payment Amount |
278451.75 |
Total Medical Medicare Standardized Payment Amount |
286989.12 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
179 |
Number Of Beneficiaries Age 65 to 74 |
685 |
Number Of Beneficiaries Age 75 to 84 |
619 |
Number Of Beneficiaries Age Greater 84 |
325 |
Number Of Female Beneficiaries |
1046 |
Number Of Male Beneficiaries |
762 |
Number Of Non Hispanic White Beneficiaries |
1560 |
Number Of Black or African American Beneficiaries |
41 |
Number Of AsianPacific Islander Beneficiaries |
25 |
Number Of Hispanic Beneficiaries |
150 |
Number Of American Indian Alaska Native Beneficiaries |
11 |
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
1592 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
216 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
1.3546 |