National Provider Identifier [NPI]: |
1336166115 |
Last Name Of The Provider |
GESIOTTO |
First Name Of The Provider |
ERNEST |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6311 S POINTE BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
FORT MYERS |
Zip Code Of The Provider |
339194901 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
149 |
Number Of Services |
22284 |
Number Of Medicare Beneficiaries |
820 |
Total Submitted Charge Amount |
891864.43 |
Total Medicare Allowed Amount |
880299.74 |
Total Medicare Payment Amount |
700821.88 |
Total Medicare Standardized Payment Amount |
681117.18 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
3661 |
Number Of Medicare Beneficiaries With Drug Services |
449 |
Total Drug Submitted ChargeAmount |
80949.82 |
Total Drug Medicare AllowedAmount |
80418.15 |
Total Drug Medicare PaymentAmount |
67182.11 |
Total Drug Medicare Standardized Payment Amount |
67182.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
131 |
Number Of Medical Services |
18623 |
Number Of Medicare Beneficiaries With Medical Services |
820 |
Total Medical Submitted Charge Amount |
810914.61 |
Total Medical Medicare Allowed Amount |
799881.59 |
Total Medical Medicare Payment Amount |
633639.77 |
Total Medical Medicare Standardized Payment Amount |
613935.07 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
21 |
Number Of Beneficiaries Age 65 to 74 |
208 |
Number Of Beneficiaries Age 75 to 84 |
380 |
Number Of Beneficiaries Age Greater 84 |
211 |
Number Of Female Beneficiaries |
458 |
Number Of Male Beneficiaries |
362 |
Number Of Non Hispanic White Beneficiaries |
802 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
3 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
10 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
57 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1253 |