Medicare Facts for Dr. Gerlie L. Papillion, MD


National Provider Identifier [NPI]: 1598740953
Last Name Of The Provider PAPILLION
First Name Of The Provider GERLIE
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 700 W 6TH ST
Street Address 2 Of The Provider # P
City Of The Provider GILROY
Zip Code Of The Provider 950206014
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 32
Number Of Services 65208
Number Of Medicare Beneficiaries 526
Total Submitted Charge Amount 2985930.42
Total Medicare Allowed Amount 1361575.65
Total Medicare Payment Amount 1057180.75
Total Medicare Standardized Payment Amount 1014485.18
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 12
Number Of Drug Services 62350
Number Of Medicare Beneficiaries With Drug Services 153
Total Drug Submitted ChargeAmount 2585373.09
Total Drug Medicare AllowedAmount 1067361.66
Total Drug Medicare PaymentAmount 836525.12
Total Drug Medicare Standardized Payment Amount 836525.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 20
Number Of Medical Services 2858
Number Of Medicare Beneficiaries With Medical Services 526
Total Medical Submitted Charge Amount 400557.33
Total Medical Medicare Allowed Amount 294213.99
Total Medical Medicare Payment Amount 220655.63
Total Medical Medicare Standardized Payment Amount 177960.06
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 54
Number Of Beneficiaries Age 65 to 74 261
Number Of Beneficiaries Age 75 to 84 158
Number Of Beneficiaries Age Greater 84 53
Number Of Female Beneficiaries 439
Number Of Male Beneficiaries 87
Number Of Non Hispanic White Beneficiaries 365
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 24
Number Of Hispanic Beneficiaries 123
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 457
Number Of Beneficiaries With Medicare Medicaid Entitlement 69
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 4
Percent Of With Asthma 10
Percent Of With Cancer 7
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 18
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 63
Percent Of With Hypertension 70
Percent Of With Ischemic Heart Disease 22
Percent Of With Osteoporosis 48
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.1414

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