National Provider Identifier [NPI]: |
1003851262 |
Last Name Of The Provider |
GABROY |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1535 WEST WARM SPRINGS ROAD |
Street Address 2 Of The Provider |
SUITE 135 |
City Of The Provider |
HENDERSON |
Zip Code Of The Provider |
89014 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
48672 |
Number Of Medicare Beneficiaries |
788 |
Total Submitted Charge Amount |
1951471 |
Total Medicare Allowed Amount |
1045033.28 |
Total Medicare Payment Amount |
786174.96 |
Total Medicare Standardized Payment Amount |
788199.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
19 |
Number Of Drug Services |
11826 |
Number Of Medicare Beneficiaries With Drug Services |
616 |
Total Drug Submitted ChargeAmount |
492237 |
Total Drug Medicare AllowedAmount |
23787.81 |
Total Drug Medicare PaymentAmount |
19217.49 |
Total Drug Medicare Standardized Payment Amount |
19217.49 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
36846 |
Number Of Medicare Beneficiaries With Medical Services |
788 |
Total Medical Submitted Charge Amount |
1459234 |
Total Medical Medicare Allowed Amount |
1021245.47 |
Total Medical Medicare Payment Amount |
766957.47 |
Total Medical Medicare Standardized Payment Amount |
768981.93 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
87 |
Number Of Beneficiaries Age 65 to 74 |
430 |
Number Of Beneficiaries Age 75 to 84 |
218 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
408 |
Number Of Male Beneficiaries |
380 |
Number Of Non Hispanic White Beneficiaries |
675 |
Number Of Black or African American Beneficiaries |
44 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
42 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
733 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
55 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
12 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
40 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
65 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
0.9786 |