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The Endoscopy Center Of Southeast Georgia, Inc

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NPI Number Detailed Information

Provider Information:

Name: The Endoscopy Center Of Southeast Georgia, Inc
Gender:
Provider License Number If Given: 138082

NPI Information:

NPI: 1265439830
Entity Type
(Individual or Organization):
2-org
Enumeration Date: 6/28/2005

Last Update Date: 1/29/2014

Provider Business Mailing Address:

Address: 200 MAPLE DR
Vidalia, GA 30474
Phone Number: 9125381003
Fax Number: 9125379843

Provider Business Practice Location Address:

Address: 200 MAPLE DR
Vidalia, GA 30474
Phone Number: 9125381003
Fax Number: 9125379843

Provider Taxonomy:

Primary: 261QE0800X
Secondary (if any):
State: GA

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About The Endoscopy Center Of Southeast Georgia, Inc

The Endoscopy Center Of Southeast Georgia, Inc ( THE ENDOSCOPY CENTER OF SOUTHEAST GEORGIA, INC ) is Definition Clinic/Center Provider in Vidalia, GA. The NPI Number for The Endoscopy Center Of Southeast Georgia, Inc is 1265439830.
The current location address for The Endoscopy Center Of Southeast Georgia, Inc is 200 MAPLE DR Vidalia, GA 30474 and the contact number is 9125381003 and fax number is 9125379843. The mailing address for The Endoscopy Center Of Southeast Georgia, Inc is 200 MAPLE DR Vidalia, GA 30474- 9125381003 (mailing address contact number - 9125381003).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for The Endoscopy Center Of Southeast Georgia, Inc ?


Answer: The NPI Number for The Endoscopy Center Of Southeast Georgia, Inc is 1265439830

Where is The Endoscopy Center Of Southeast Georgia, Inc located?


Answer: The Endoscopy Center Of Southeast Georgia, Inc is located at 200 MAPLE DR Vidalia, GA 30474.

What is the specialty for The Endoscopy Center Of Southeast Georgia, Inc ?


Answer: The Specialty of The Endoscopy Center Of Southeast Georgia, Inc is Definition Clinic/Center Provider.

Are there any online reviews for The Endoscopy Center Of Southeast Georgia, Inc ?


Answer: Not yet!

Are there any other health care providers in Vidalia, GA?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by The Endoscopy Center Of Southeast Georgia, Inc

Number of HCPCS 15
Number of Medicare Beneficiaries 176
Number of Services 263
Total Submitted Charge Amount 261755
Total Medicare Allowed Amount 96385.17
Total Medicare Payment Amount 79535.51
Total Medicare Standardized Payment Amount 90880.72
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 15
Number of Medicare Beneficiaries With Medical 176
Number of Medical Services 263
Total Medical Submitted Charge Amount 261755
Total Medical Medicare Allowed Amount 96385.17
Total Medical Medicare Payment Amount 79535.51
Total Medical Medicare Standardized Payment Amount 90880.72
Average Age of Beneficiaries 72
Number of Beneficiaries Age Less 65
Number of Beneficiaries Age 65 to 74 116
Number of Beneficiaries Age 75 to 84 49
Number of Beneficiaries Age Greater 84
Number of Female Beneficiaries 82
Number of Male Beneficiaries 94
Number of Non-Hispanic White Beneficiaries 153
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 21
Number of Beneficiaries With Medicare Only Entitlement 155
Percent (%) of Beneficiaries Identified With Atrial Fibrillation
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia
Percent (%) of Beneficiaries Identified With Asthma 0.08
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.07
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.39
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.07
Percent (%) of Beneficiaries Identified With Depression 0.14
Percent (%) of Beneficiaries Identified With Diabetes 0.27
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.75
Percent (%) of Beneficiaries Identified With Hypertension 0.74
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.22
Percent (%) of Beneficiaries Identified With Osteoporosis 0.09
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.34
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 0.7289

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