National Provider Identifier [NPI]: |
1295786861 |
Last Name Of The Provider |
GILE |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
818 N EMPORIA ST |
Street Address 2 Of The Provider |
SUITE 310 |
City Of The Provider |
WICHITA |
Zip Code Of The Provider |
672143729 |
State Code Of The Provider |
KS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
33 |
Number Of Services |
7732 |
Number Of Medicare Beneficiaries |
916 |
Total Submitted Charge Amount |
1341916 |
Total Medicare Allowed Amount |
449600.73 |
Total Medicare Payment Amount |
342644.41 |
Total Medicare Standardized Payment Amount |
361011.3 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
3690 |
Number Of Medicare Beneficiaries With Drug Services |
56 |
Total Drug Submitted ChargeAmount |
121785 |
Total Drug Medicare AllowedAmount |
42351.46 |
Total Drug Medicare PaymentAmount |
33156.33 |
Total Drug Medicare Standardized Payment Amount |
33156.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
4042 |
Number Of Medicare Beneficiaries With Medical Services |
916 |
Total Medical Submitted Charge Amount |
1220131 |
Total Medical Medicare Allowed Amount |
407249.27 |
Total Medical Medicare Payment Amount |
309488.08 |
Total Medical Medicare Standardized Payment Amount |
327854.97 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
245 |
Number Of Beneficiaries Age 65 to 74 |
284 |
Number Of Beneficiaries Age 75 to 84 |
265 |
Number Of Beneficiaries Age Greater 84 |
122 |
Number Of Female Beneficiaries |
481 |
Number Of Male Beneficiaries |
435 |
Number Of Non Hispanic White Beneficiaries |
700 |
Number Of Black or African American Beneficiaries |
146 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
44 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
655 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
261 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
58 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
33 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
3.7716 |