National Provider Identifier [NPI]: |
1467401182 |
Last Name Of The Provider |
DANIEL |
First Name Of The Provider |
GILBERT |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1340 SOUTHERN AVE SE |
Street Address 2 Of The Provider |
|
City Of The Provider |
WASHINGTON |
Zip Code Of The Provider |
200324623 |
State Code Of The Provider |
DC |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
5196 |
Number Of Medicare Beneficiaries |
787 |
Total Submitted Charge Amount |
723220 |
Total Medicare Allowed Amount |
521504.07 |
Total Medicare Payment Amount |
385473.16 |
Total Medicare Standardized Payment Amount |
347918.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
95 |
Number Of Medicare Beneficiaries With Drug Services |
87 |
Total Drug Submitted ChargeAmount |
5370 |
Total Drug Medicare AllowedAmount |
2330.52 |
Total Drug Medicare PaymentAmount |
2284.05 |
Total Drug Medicare Standardized Payment Amount |
2284.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
5101 |
Number Of Medicare Beneficiaries With Medical Services |
787 |
Total Medical Submitted Charge Amount |
717850 |
Total Medical Medicare Allowed Amount |
519173.55 |
Total Medical Medicare Payment Amount |
383189.11 |
Total Medical Medicare Standardized Payment Amount |
345634.56 |
Average Age Of Beneficiaries |
65 |
Number Of Beneficiaries Age Less65 |
339 |
Number Of Beneficiaries Age 65 to 74 |
229 |
Number Of Beneficiaries Age 75 to 84 |
157 |
Number Of Beneficiaries Age Greater 84 |
62 |
Number Of Female Beneficiaries |
485 |
Number Of Male Beneficiaries |
302 |
Number Of Non Hispanic White Beneficiaries |
25 |
Number Of Black or African American Beneficiaries |
745 |
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 |
190 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
597 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
22 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
40 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
56 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
20 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
2.303 |