Medicare Facts for Dr. Steven R. Gilbert, MD


National Provider Identifier [NPI]: 1598865222
Last Name Of The Provider GILBERT
First Name Of The Provider STEVEN
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1000 N OAK AVE
Street Address 2 Of The Provider
City Of The Provider MARSHFIELD
Zip Code Of The Provider 54449
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Pulmonary Disease
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 1161
Number Of Medicare Beneficiaries 374
Total Submitted Charge Amount 523858.3
Total Medicare Allowed Amount 107156.01
Total Medicare Payment Amount 78841.57
Total Medicare Standardized Payment Amount 85348.76
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 95
Number Of Medicare Beneficiaries With Drug Services 14
Total Drug Submitted ChargeAmount 290.85
Total Drug Medicare AllowedAmount 181.06
Total Drug Medicare PaymentAmount 169.01
Total Drug Medicare Standardized Payment Amount 169.01
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 41
Number Of Medical Services 1066
Number Of Medicare Beneficiaries With Medical Services 374
Total Medical Submitted Charge Amount 523567.45
Total Medical Medicare Allowed Amount 106974.95
Total Medical Medicare Payment Amount 78672.56
Total Medical Medicare Standardized Payment Amount 85179.75
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 100
Number Of Beneficiaries Age 65 to 74 117
Number Of Beneficiaries Age 75 to 84 124
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 192
Number Of Male Beneficiaries 182
Number Of Non Hispanic White Beneficiaries 363
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 239
Number Of Beneficiaries With Medicare Medicaid Entitlement 135
Percent Of With Atrial Fibrillation 25
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 15
Percent Of With Cancer 18
Percent Of With Heart Failure 41
Percent Of With Chronic Kidney Disease 47
Percent Of With Chronic Obstructive Pulmonary Disease 51
Percent Of With Depression 32
Percent Of With Diabetes 35
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 46
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 2.1368

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