National Provider Identifier [NPI]: |
1033290705 |
Last Name Of The Provider |
SOTOS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
9707 MEDICAL CENTER DR |
Street Address 2 Of The Provider |
SUITE 300 |
City Of The Provider |
ROCKVILLE |
Zip Code Of The Provider |
208503348 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
135 |
Number Of Services |
126915 |
Number Of Medicare Beneficiaries |
664 |
Total Submitted Charge Amount |
2757954.75 |
Total Medicare Allowed Amount |
1792307.29 |
Total Medicare Payment Amount |
1402236.71 |
Total Medicare Standardized Payment Amount |
1368907.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
73 |
Number Of Drug Services |
117068 |
Number Of Medicare Beneficiaries With Drug Services |
233 |
Total Drug Submitted ChargeAmount |
2105396.34 |
Total Drug Medicare AllowedAmount |
1395196.28 |
Total Drug Medicare PaymentAmount |
1092798.52 |
Total Drug Medicare Standardized Payment Amount |
1092798.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
62 |
Number Of Medical Services |
9847 |
Number Of Medicare Beneficiaries With Medical Services |
664 |
Total Medical Submitted Charge Amount |
652558.41 |
Total Medical Medicare Allowed Amount |
397111.01 |
Total Medical Medicare Payment Amount |
309438.19 |
Total Medical Medicare Standardized Payment Amount |
276108.86 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
29 |
Number Of Beneficiaries Age 65 to 74 |
252 |
Number Of Beneficiaries Age 75 to 84 |
260 |
Number Of Beneficiaries Age Greater 84 |
123 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
303 |
Number Of Non Hispanic White Beneficiaries |
546 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
628 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
36 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
41 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.8222 |