National Provider Identifier [NPI]: |
1922051671 |
Last Name Of The Provider |
GESSNER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2020 59TH ST W |
Street Address 2 Of The Provider |
|
City Of The Provider |
BRADENTON |
Zip Code Of The Provider |
342094604 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
1217 |
Number Of Medicare Beneficiaries |
790 |
Total Submitted Charge Amount |
785581.01 |
Total Medicare Allowed Amount |
107077.6 |
Total Medicare Payment Amount |
80698.89 |
Total Medicare Standardized Payment Amount |
79848.15 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
107 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
540.01 |
Total Drug Medicare AllowedAmount |
224.44 |
Total Drug Medicare PaymentAmount |
190.38 |
Total Drug Medicare Standardized Payment Amount |
190.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
1110 |
Number Of Medicare Beneficiaries With Medical Services |
790 |
Total Medical Submitted Charge Amount |
785041 |
Total Medical Medicare Allowed Amount |
106853.16 |
Total Medical Medicare Payment Amount |
80508.51 |
Total Medical Medicare Standardized Payment Amount |
79657.77 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
250 |
Number Of Beneficiaries Age Greater 84 |
225 |
Number Of Female Beneficiaries |
460 |
Number Of Male Beneficiaries |
330 |
Number Of Non Hispanic White Beneficiaries |
730 |
Number Of Black or African American Beneficiaries |
26 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
21 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
663 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
127 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
23 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
28 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6036 |