National Provider Identifier [NPI]: |
1700805553 |
Last Name Of The Provider |
REYNOLDS |
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 |
1040 RIVER OAKS DR |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
FLOWOOD |
Zip Code Of The Provider |
392329530 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
56 |
Number Of Services |
5057 |
Number Of Medicare Beneficiaries |
1598 |
Total Submitted Charge Amount |
975479 |
Total Medicare Allowed Amount |
326991.32 |
Total Medicare Payment Amount |
241787.47 |
Total Medicare Standardized Payment Amount |
263993.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
359 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
26295 |
Total Drug Medicare AllowedAmount |
18316.38 |
Total Drug Medicare PaymentAmount |
14360.02 |
Total Drug Medicare Standardized Payment Amount |
14360.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4698 |
Number Of Medicare Beneficiaries With Medical Services |
1598 |
Total Medical Submitted Charge Amount |
949184 |
Total Medical Medicare Allowed Amount |
308674.94 |
Total Medical Medicare Payment Amount |
227427.45 |
Total Medical Medicare Standardized Payment Amount |
249633.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
247 |
Number Of Beneficiaries Age 65 to 74 |
616 |
Number Of Beneficiaries Age 75 to 84 |
506 |
Number Of Beneficiaries Age Greater 84 |
229 |
Number Of Female Beneficiaries |
849 |
Number Of Male Beneficiaries |
749 |
Number Of Non Hispanic White Beneficiaries |
1180 |
Number Of Black or African American Beneficiaries |
406 |
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 |
1153 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
445 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
54 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
53 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.525 |