National Provider Identifier [NPI]: |
1144410507 |
Last Name Of The Provider |
GEORGE |
First Name Of The Provider |
SAJID |
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 |
1 E MARKET ST |
Street Address 2 Of The Provider |
SUITE C-1 |
City Of The Provider |
MARTINSVILLE |
Zip Code Of The Provider |
241123747 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
4553 |
Number Of Medicare Beneficiaries |
496 |
Total Submitted Charge Amount |
798187 |
Total Medicare Allowed Amount |
343043.89 |
Total Medicare Payment Amount |
255503.26 |
Total Medicare Standardized Payment Amount |
243143.34 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
1600 |
Number Of Medicare Beneficiaries With Drug Services |
14 |
Total Drug Submitted ChargeAmount |
11840 |
Total Drug Medicare AllowedAmount |
5932.8 |
Total Drug Medicare PaymentAmount |
4586.05 |
Total Drug Medicare Standardized Payment Amount |
4586.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
24 |
Number Of Medical Services |
2953 |
Number Of Medicare Beneficiaries With Medical Services |
496 |
Total Medical Submitted Charge Amount |
786347 |
Total Medical Medicare Allowed Amount |
337111.09 |
Total Medical Medicare Payment Amount |
250917.21 |
Total Medical Medicare Standardized Payment Amount |
238557.29 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
142 |
Number Of Beneficiaries Age 65 to 74 |
140 |
Number Of Beneficiaries Age 75 to 84 |
140 |
Number Of Beneficiaries Age Greater 84 |
74 |
Number Of Female Beneficiaries |
251 |
Number Of Male Beneficiaries |
245 |
Number Of Non Hispanic White Beneficiaries |
269 |
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 |
261 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
235 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
58 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
31 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
2.7852 |