Medicare Facts for Jorge Gutierrez, PA


National Provider Identifier [NPI]: 1679661557
Last Name Of The Provider GUTIERREZ
First Name Of The Provider JORGE
Middle Initial Of The Provider
Credentials Of The Provider PA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1127 NW 22ND AVE
Street Address 2 Of The Provider
City Of The Provider MIAMI
Zip Code Of The Provider 331252738
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 9
Number Of Services 59
Number Of Medicare Beneficiaries 32
Total Submitted Charge Amount 5245.53
Total Medicare Allowed Amount 3883.48
Total Medicare Payment Amount 2428.07
Total Medicare Standardized Payment Amount 2707.2
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 9
Number Of Medical Services 59
Number Of Medicare Beneficiaries With Medical Services 32
Total Medical Submitted Charge Amount 5245.53
Total Medical Medicare Allowed Amount 3883.48
Total Medical Medicare Payment Amount 2428.07
Total Medical Medicare Standardized Payment Amount 2707.2
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 16
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries
Number Of Male Beneficiaries
Number Of Non Hispanic White Beneficiaries 0
Number Of Black or African American Beneficiaries 0
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries 32
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia 34
Percent Of With Asthma
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease
Percent Of With Chronic Obstructive Pulmonary Disease 41
Percent Of With Depression 75
Percent Of With Diabetes 75
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 41
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 0
Average HCC Risk Score Of Beneficiaries 1.3037

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