National Provider Identifier [NPI]: |
1710912621 |
Last Name Of The Provider |
IMPERI |
First Name Of The Provider |
GREGORY |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4645 NW 8TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054524 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
129 |
Number Of Services |
16255 |
Number Of Medicare Beneficiaries |
2276 |
Total Submitted Charge Amount |
1062053.57 |
Total Medicare Allowed Amount |
1014328.65 |
Total Medicare Payment Amount |
766656.98 |
Total Medicare Standardized Payment Amount |
772588.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
8470 |
Number Of Medicare Beneficiaries With Drug Services |
232 |
Total Drug Submitted ChargeAmount |
41377.64 |
Total Drug Medicare AllowedAmount |
39420.08 |
Total Drug Medicare PaymentAmount |
30512.63 |
Total Drug Medicare Standardized Payment Amount |
30512.63 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
123 |
Number Of Medical Services |
7785 |
Number Of Medicare Beneficiaries With Medical Services |
2276 |
Total Medical Submitted Charge Amount |
1020675.93 |
Total Medical Medicare Allowed Amount |
974908.57 |
Total Medical Medicare Payment Amount |
736144.35 |
Total Medical Medicare Standardized Payment Amount |
742075.79 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
215 |
Number Of Beneficiaries Age 65 to 74 |
820 |
Number Of Beneficiaries Age 75 to 84 |
831 |
Number Of Beneficiaries Age Greater 84 |
410 |
Number Of Female Beneficiaries |
1183 |
Number Of Male Beneficiaries |
1093 |
Number Of Non Hispanic White Beneficiaries |
2003 |
Number Of Black or African American Beneficiaries |
204 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
1791 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
485 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
42 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.645 |