National Provider Identifier [NPI]: |
1295050433 |
Last Name Of The Provider |
GABBEART |
First Name Of The Provider |
EMILY |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
8641 W GRAND RIVER AVE |
Street Address 2 Of The Provider |
SUITE 4 |
City Of The Provider |
BRIGHTON |
Zip Code Of The Provider |
481164353 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
61 |
Number Of Services |
940 |
Number Of Medicare Beneficiaries |
133 |
Total Submitted Charge Amount |
65946 |
Total Medicare Allowed Amount |
46404.81 |
Total Medicare Payment Amount |
34257.21 |
Total Medicare Standardized Payment Amount |
36096.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
40 |
Number Of Medicare Beneficiaries With Drug Services |
23 |
Total Drug Submitted ChargeAmount |
979 |
Total Drug Medicare AllowedAmount |
752.19 |
Total Drug Medicare PaymentAmount |
711.59 |
Total Drug Medicare Standardized Payment Amount |
711.59 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
49 |
Number Of Medical Services |
900 |
Number Of Medicare Beneficiaries With Medical Services |
133 |
Total Medical Submitted Charge Amount |
64967 |
Total Medical Medicare Allowed Amount |
45652.62 |
Total Medical Medicare Payment Amount |
33545.62 |
Total Medical Medicare Standardized Payment Amount |
35385.23 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
66 |
Number Of Beneficiaries Age 75 to 84 |
27 |
Number Of Beneficiaries Age Greater 84 |
16 |
Number Of Female Beneficiaries |
91 |
Number Of Male Beneficiaries |
42 |
Number Of Non Hispanic White Beneficiaries |
|
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
111 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
22 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
|
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
25 |
Percent Of With Hyperlipidemia |
41 |
Percent Of With Hypertension |
53 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.9892 |