National Provider Identifier [NPI]: |
1811999873 |
Last Name Of The Provider |
THOMMI |
First Name Of The Provider |
GEORGE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8552 CASS ST |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
OMAHA |
Zip Code Of The Provider |
681143570 |
State Code Of The Provider |
NE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
9189 |
Number Of Medicare Beneficiaries |
1117 |
Total Submitted Charge Amount |
985321.65 |
Total Medicare Allowed Amount |
488762.81 |
Total Medicare Payment Amount |
371220.23 |
Total Medicare Standardized Payment Amount |
347254.35 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
3003 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
4295 |
Total Drug Medicare AllowedAmount |
2906.14 |
Total Drug Medicare PaymentAmount |
2744.86 |
Total Drug Medicare Standardized Payment Amount |
2744.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
65 |
Number Of Medical Services |
6186 |
Number Of Medicare Beneficiaries With Medical Services |
1117 |
Total Medical Submitted Charge Amount |
981026.65 |
Total Medical Medicare Allowed Amount |
485856.67 |
Total Medical Medicare Payment Amount |
368475.37 |
Total Medical Medicare Standardized Payment Amount |
344509.49 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
438 |
Number Of Beneficiaries Age 75 to 84 |
379 |
Number Of Beneficiaries Age Greater 84 |
179 |
Number Of Female Beneficiaries |
625 |
Number Of Male Beneficiaries |
492 |
Number Of Non Hispanic White Beneficiaries |
1031 |
Number Of Black or African American Beneficiaries |
48 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
18 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
918 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
199 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
22 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
53 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.9011 |