National Provider Identifier [NPI]: |
1104877828 |
Last Name Of The Provider |
FILIADIS |
First Name Of The Provider |
GEORGIOS |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
476 S MAIN ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
ANDOVER |
Zip Code Of The Provider |
440039602 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
2000 |
Number Of Medicare Beneficiaries |
1516 |
Total Submitted Charge Amount |
1350495 |
Total Medicare Allowed Amount |
257586.15 |
Total Medicare Payment Amount |
196772.35 |
Total Medicare Standardized Payment Amount |
190319.62 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
2000 |
Number Of Medicare Beneficiaries With Medical Services |
1516 |
Total Medical Submitted Charge Amount |
1350495 |
Total Medical Medicare Allowed Amount |
257586.15 |
Total Medical Medicare Payment Amount |
196772.35 |
Total Medical Medicare Standardized Payment Amount |
190319.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
408 |
Number Of Beneficiaries Age 65 to 74 |
417 |
Number Of Beneficiaries Age 75 to 84 |
378 |
Number Of Beneficiaries Age Greater 84 |
313 |
Number Of Female Beneficiaries |
900 |
Number Of Male Beneficiaries |
616 |
Number Of Non Hispanic White Beneficiaries |
1208 |
Number Of Black or African American Beneficiaries |
187 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
104 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
979 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
537 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
33 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.9224 |