National Provider Identifier [NPI]: |
1598850919 |
Last Name Of The Provider |
GERSH |
First Name Of The Provider |
FELICE |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16300 SAND CANYON AVE |
Street Address 2 Of The Provider |
311 |
City Of The Provider |
IRVINE |
Zip Code Of The Provider |
92618 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
65 |
Number Of Services |
2498 |
Number Of Medicare Beneficiaries |
361 |
Total Submitted Charge Amount |
353972 |
Total Medicare Allowed Amount |
211901.89 |
Total Medicare Payment Amount |
159390.19 |
Total Medicare Standardized Payment Amount |
141666.38 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
113 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
1584 |
Total Drug Medicare AllowedAmount |
936.6 |
Total Drug Medicare PaymentAmount |
886.23 |
Total Drug Medicare Standardized Payment Amount |
886.23 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
60 |
Number Of Medical Services |
2385 |
Number Of Medicare Beneficiaries With Medical Services |
361 |
Total Medical Submitted Charge Amount |
352388 |
Total Medical Medicare Allowed Amount |
210965.29 |
Total Medical Medicare Payment Amount |
158503.96 |
Total Medical Medicare Standardized Payment Amount |
140780.15 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
28 |
Number Of Beneficiaries Age 65 to 74 |
244 |
Number Of Beneficiaries Age 75 to 84 |
71 |
Number Of Beneficiaries Age Greater 84 |
18 |
Number Of Female Beneficiaries |
330 |
Number Of Male Beneficiaries |
31 |
Number Of Non Hispanic White Beneficiaries |
325 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
342 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
19 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
7 |
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
4 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
15 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
44 |
Percent Of With Ischemic Heart Disease |
32 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.8246 |