National Provider Identifier [NPI]: |
1750304036 |
Last Name Of The Provider |
GOMEZ |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 NORTH ST |
Street Address 2 Of The Provider |
SUITE 203 |
City Of The Provider |
GENEVA |
Zip Code Of The Provider |
144561561 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
30 |
Number Of Services |
4181 |
Number Of Medicare Beneficiaries |
1826 |
Total Submitted Charge Amount |
352113.26 |
Total Medicare Allowed Amount |
111484.14 |
Total Medicare Payment Amount |
81659.72 |
Total Medicare Standardized Payment Amount |
85650.56 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
4181 |
Number Of Medicare Beneficiaries With Medical Services |
1826 |
Total Medical Submitted Charge Amount |
352113.26 |
Total Medical Medicare Allowed Amount |
111484.14 |
Total Medical Medicare Payment Amount |
81659.72 |
Total Medical Medicare Standardized Payment Amount |
85650.56 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
483 |
Number Of Beneficiaries Age 65 to 74 |
474 |
Number Of Beneficiaries Age 75 to 84 |
450 |
Number Of Beneficiaries Age Greater 84 |
419 |
Number Of Female Beneficiaries |
1002 |
Number Of Male Beneficiaries |
824 |
Number Of Non Hispanic White Beneficiaries |
1647 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
75 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1055 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
771 |
Percent Of With Atrial Fibrillation |
20 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.4562 |