National Provider Identifier [NPI]: |
1467487843 |
Last Name Of The Provider |
HARRIS |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
480 WALKER DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
SPRINGVILLE |
Zip Code Of The Provider |
351463250 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
4281 |
Number Of Medicare Beneficiaries |
539 |
Total Submitted Charge Amount |
246321 |
Total Medicare Allowed Amount |
179107.88 |
Total Medicare Payment Amount |
117221.31 |
Total Medicare Standardized Payment Amount |
133957.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
1514 |
Number Of Medicare Beneficiaries With Drug Services |
323 |
Total Drug Submitted ChargeAmount |
28881 |
Total Drug Medicare AllowedAmount |
12638.87 |
Total Drug Medicare PaymentAmount |
10037.65 |
Total Drug Medicare Standardized Payment Amount |
10037.65 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
52 |
Number Of Medical Services |
2767 |
Number Of Medicare Beneficiaries With Medical Services |
539 |
Total Medical Submitted Charge Amount |
217440 |
Total Medical Medicare Allowed Amount |
166469.01 |
Total Medical Medicare Payment Amount |
107183.66 |
Total Medical Medicare Standardized Payment Amount |
123919.84 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
123 |
Number Of Beneficiaries Age 65 to 74 |
204 |
Number Of Beneficiaries Age 75 to 84 |
150 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
313 |
Number Of Male Beneficiaries |
226 |
Number Of Non Hispanic White Beneficiaries |
515 |
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 |
408 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
131 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
6 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
21 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9489 |