National Provider Identifier [NPI]: |
1104816388 |
Last Name Of The Provider |
GUILER |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
211 FOUNTAIN CT |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
LEXINGTON |
Zip Code Of The Provider |
405091888 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Obstetrics/Gynecology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
39 |
Number Of Services |
593 |
Number Of Medicare Beneficiaries |
235 |
Total Submitted Charge Amount |
80939.04 |
Total Medicare Allowed Amount |
54686.67 |
Total Medicare Payment Amount |
40510.84 |
Total Medicare Standardized Payment Amount |
46654.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
62 |
Number Of Medicare Beneficiaries With Drug Services |
13 |
Total Drug Submitted ChargeAmount |
43.43 |
Total Drug Medicare AllowedAmount |
38.56 |
Total Drug Medicare PaymentAmount |
30.01 |
Total Drug Medicare Standardized Payment Amount |
30.01 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
38 |
Number Of Medical Services |
531 |
Number Of Medicare Beneficiaries With Medical Services |
235 |
Total Medical Submitted Charge Amount |
80895.61 |
Total Medical Medicare Allowed Amount |
54648.11 |
Total Medical Medicare Payment Amount |
40480.83 |
Total Medical Medicare Standardized Payment Amount |
46624.11 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
50 |
Number Of Beneficiaries Age 65 to 74 |
112 |
Number Of Beneficiaries Age 75 to 84 |
61 |
Number Of Beneficiaries Age Greater 84 |
12 |
Number Of Female Beneficiaries |
235 |
Number Of Male Beneficiaries |
0 |
Number Of Non Hispanic White Beneficiaries |
224 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
201 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
34 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
6 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
9 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
63 |
Percent Of With Ischemic Heart Disease |
22 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
0.7781 |