National Provider Identifier [NPI]: |
1295703825 |
Last Name Of The Provider |
SIMMONS |
First Name Of The Provider |
GEOFFREY |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1200 HILYARD ST STE 520A |
Street Address 2 Of The Provider |
|
City Of The Provider |
EUGENE |
Zip Code Of The Provider |
974018122 |
State Code Of The Provider |
OR |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
4794 |
Number Of Medicare Beneficiaries |
731 |
Total Submitted Charge Amount |
515532 |
Total Medicare Allowed Amount |
141255.19 |
Total Medicare Payment Amount |
100929.32 |
Total Medicare Standardized Payment Amount |
104433.19 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
76 |
Number Of Medicare Beneficiaries With Drug Services |
50 |
Total Drug Submitted ChargeAmount |
2407 |
Total Drug Medicare AllowedAmount |
1821.53 |
Total Drug Medicare PaymentAmount |
1773.81 |
Total Drug Medicare Standardized Payment Amount |
1773.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
28 |
Number Of Medical Services |
4718 |
Number Of Medicare Beneficiaries With Medical Services |
731 |
Total Medical Submitted Charge Amount |
513125 |
Total Medical Medicare Allowed Amount |
139433.66 |
Total Medical Medicare Payment Amount |
99155.51 |
Total Medical Medicare Standardized Payment Amount |
102659.38 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
104 |
Number Of Beneficiaries Age 65 to 74 |
253 |
Number Of Beneficiaries Age 75 to 84 |
223 |
Number Of Beneficiaries Age Greater 84 |
151 |
Number Of Female Beneficiaries |
341 |
Number Of Male Beneficiaries |
390 |
Number Of Non Hispanic White Beneficiaries |
690 |
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 |
609 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
42 |
Percent Of With Hypertension |
59 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
34 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.3163 |