National Provider Identifier [NPI]: |
1588845796 |
Last Name Of The Provider |
GISLER |
First Name Of The Provider |
CHRISTOPHER |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
731 CARNOUSTIE DR |
Street Address 2 Of The Provider |
SUITE 102 |
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782584799 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
7770 |
Number Of Medicare Beneficiaries |
1059 |
Total Submitted Charge Amount |
1026680 |
Total Medicare Allowed Amount |
469332.73 |
Total Medicare Payment Amount |
363466.95 |
Total Medicare Standardized Payment Amount |
379699.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
558 |
Number Of Medicare Beneficiaries With Drug Services |
18 |
Total Drug Submitted ChargeAmount |
12322 |
Total Drug Medicare AllowedAmount |
6425.37 |
Total Drug Medicare PaymentAmount |
4608.36 |
Total Drug Medicare Standardized Payment Amount |
4608.36 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
63 |
Number Of Medical Services |
7212 |
Number Of Medicare Beneficiaries With Medical Services |
1059 |
Total Medical Submitted Charge Amount |
1014358 |
Total Medical Medicare Allowed Amount |
462907.36 |
Total Medical Medicare Payment Amount |
358858.59 |
Total Medical Medicare Standardized Payment Amount |
375091.51 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
201 |
Number Of Beneficiaries Age 65 to 74 |
350 |
Number Of Beneficiaries Age 75 to 84 |
343 |
Number Of Beneficiaries Age Greater 84 |
165 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
545 |
Number Of Non Hispanic White Beneficiaries |
714 |
Number Of Black or African American Beneficiaries |
93 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
231 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
865 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
194 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
19 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
48 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
55 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
61 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
3.1563 |