National Provider Identifier [NPI]: |
1154342343 |
Last Name Of The Provider |
GELFAND |
First Name Of The Provider |
ELENA |
Middle Initial Of The Provider |
V |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
777 CAMPUS COMMONS RD |
Street Address 2 Of The Provider |
SUITE 120 |
City Of The Provider |
SACRAMENTO |
Zip Code Of The Provider |
958258309 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
21 |
Number Of Services |
5823 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
775105 |
Total Medicare Allowed Amount |
412179.73 |
Total Medicare Payment Amount |
315033.97 |
Total Medicare Standardized Payment Amount |
306772.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3306 |
Number Of Medicare Beneficiaries With Drug Services |
17 |
Total Drug Submitted ChargeAmount |
33074 |
Total Drug Medicare AllowedAmount |
12289.28 |
Total Drug Medicare PaymentAmount |
9328.81 |
Total Drug Medicare Standardized Payment Amount |
9328.81 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2517 |
Number Of Medicare Beneficiaries With Medical Services |
475 |
Total Medical Submitted Charge Amount |
742031 |
Total Medical Medicare Allowed Amount |
399890.45 |
Total Medical Medicare Payment Amount |
305705.16 |
Total Medical Medicare Standardized Payment Amount |
297443.79 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
178 |
Number Of Beneficiaries Age 65 to 74 |
139 |
Number Of Beneficiaries Age 75 to 84 |
105 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
239 |
Number Of Male Beneficiaries |
236 |
Number Of Non Hispanic White Beneficiaries |
202 |
Number Of Black or African American Beneficiaries |
99 |
Number Of AsianPacific Islander Beneficiaries |
86 |
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
198 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
277 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
63 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
5.277 |