Medicare Facts for Dr. Salvador R. Gutierrez, MD


National Provider Identifier [NPI]: 1164522769
Last Name Of The Provider GUTIERREZ
First Name Of The Provider SALVADOR
Middle Initial Of The Provider R
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 2655 N MILWAUKEE AVE
Street Address 2 Of The Provider
City Of The Provider CHICAGO
Zip Code Of The Provider 606471643
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 13
Number Of Services 697
Number Of Medicare Beneficiaries 190
Total Submitted Charge Amount 62837
Total Medicare Allowed Amount 47966.48
Total Medicare Payment Amount 29117.24
Total Medicare Standardized Payment Amount 27888.92
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 46
Number Of Medicare Beneficiaries With Drug Services 45
Total Drug Submitted ChargeAmount 2410
Total Drug Medicare AllowedAmount 1175.77
Total Drug Medicare PaymentAmount 1152.19
Total Drug Medicare Standardized Payment Amount 1152.19
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 10
Number Of Medical Services 651
Number Of Medicare Beneficiaries With Medical Services 190
Total Medical Submitted Charge Amount 60427
Total Medical Medicare Allowed Amount 46790.71
Total Medical Medicare Payment Amount 27965.05
Total Medical Medicare Standardized Payment Amount 26736.73
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 63
Number Of Beneficiaries Age 65 to 74 80
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 111
Number Of Male Beneficiaries 79
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 171
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 63
Number Of Beneficiaries With Medicare Medicaid Entitlement 127
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 19
Percent Of With Cancer
Percent Of With Heart Failure 9
Percent Of With Chronic Kidney Disease 12
Percent Of With Chronic Obstructive Pulmonary Disease 7
Percent Of With Depression 28
Percent Of With Diabetes 51
Percent Of With Hyperlipidemia 65
Percent Of With Hypertension 68
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 32
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.989

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