National Provider Identifier [NPI]: |
1346303641 |
Last Name Of The Provider |
GELFAND |
First Name Of The Provider |
VLADIMIR |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1751 CLARKSON RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
CHESTERFIELD |
Zip Code Of The Provider |
630174979 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
96 |
Number Of Services |
5910 |
Number Of Medicare Beneficiaries |
396 |
Total Submitted Charge Amount |
423046 |
Total Medicare Allowed Amount |
312715.09 |
Total Medicare Payment Amount |
223866.68 |
Total Medicare Standardized Payment Amount |
246244.11 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
968 |
Number Of Medicare Beneficiaries With Drug Services |
212 |
Total Drug Submitted ChargeAmount |
46629 |
Total Drug Medicare AllowedAmount |
26397.11 |
Total Drug Medicare PaymentAmount |
21365.98 |
Total Drug Medicare Standardized Payment Amount |
21365.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
4942 |
Number Of Medicare Beneficiaries With Medical Services |
396 |
Total Medical Submitted Charge Amount |
376417 |
Total Medical Medicare Allowed Amount |
286317.98 |
Total Medical Medicare Payment Amount |
202500.7 |
Total Medical Medicare Standardized Payment Amount |
224878.13 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
183 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
65 |
Number Of Female Beneficiaries |
219 |
Number Of Male Beneficiaries |
177 |
Number Of Non Hispanic White Beneficiaries |
359 |
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 |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
251 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
145 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1441 |