National Provider Identifier [NPI]: |
1891979563 |
Last Name Of The Provider |
GARNER |
First Name Of The Provider |
CELIA |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
324 10TH AVE |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
SALT LAKE CITY |
Zip Code Of The Provider |
841032853 |
State Code Of The Provider |
UT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
755 |
Number Of Medicare Beneficiaries |
202 |
Total Submitted Charge Amount |
85415 |
Total Medicare Allowed Amount |
60337.62 |
Total Medicare Payment Amount |
42837.24 |
Total Medicare Standardized Payment Amount |
45517.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
57 |
Number Of Medicare Beneficiaries With Drug Services |
41 |
Total Drug Submitted ChargeAmount |
1652 |
Total Drug Medicare AllowedAmount |
1431.44 |
Total Drug Medicare PaymentAmount |
1312.74 |
Total Drug Medicare Standardized Payment Amount |
1312.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
23 |
Number Of Medical Services |
698 |
Number Of Medicare Beneficiaries With Medical Services |
202 |
Total Medical Submitted Charge Amount |
83763 |
Total Medical Medicare Allowed Amount |
58906.18 |
Total Medical Medicare Payment Amount |
41524.5 |
Total Medical Medicare Standardized Payment Amount |
44204.38 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
85 |
Number Of Beneficiaries Age 75 to 84 |
46 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
146 |
Number Of Male Beneficiaries |
56 |
Number Of Non Hispanic White Beneficiaries |
180 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
182 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
20 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
27 |
Percent Of With Hypertension |
45 |
Percent Of With Ischemic Heart Disease |
24 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.0475 |