National Provider Identifier [NPI]: |
1225006638 |
Last Name Of The Provider |
GASNER |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
635 1ST ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
WINTER HAVEN |
Zip Code Of The Provider |
338814129 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
232 |
Number Of Services |
16066 |
Number Of Medicare Beneficiaries |
1773 |
Total Submitted Charge Amount |
848185.95 |
Total Medicare Allowed Amount |
412282.36 |
Total Medicare Payment Amount |
317562.87 |
Total Medicare Standardized Payment Amount |
322493.48 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
27 |
Number Of Drug Services |
4897 |
Number Of Medicare Beneficiaries With Drug Services |
353 |
Total Drug Submitted ChargeAmount |
173597 |
Total Drug Medicare AllowedAmount |
52073.13 |
Total Drug Medicare PaymentAmount |
43309.96 |
Total Drug Medicare Standardized Payment Amount |
43309.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
205 |
Number Of Medical Services |
11169 |
Number Of Medicare Beneficiaries With Medical Services |
1773 |
Total Medical Submitted Charge Amount |
674588.95 |
Total Medical Medicare Allowed Amount |
360209.23 |
Total Medical Medicare Payment Amount |
274252.91 |
Total Medical Medicare Standardized Payment Amount |
279183.52 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
214 |
Number Of Beneficiaries Age 65 to 74 |
647 |
Number Of Beneficiaries Age 75 to 84 |
569 |
Number Of Beneficiaries Age Greater 84 |
343 |
Number Of Female Beneficiaries |
931 |
Number Of Male Beneficiaries |
842 |
Number Of Non Hispanic White Beneficiaries |
1553 |
Number Of Black or African American Beneficiaries |
150 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
49 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1386 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
387 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
60 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
12 |
Average HCC Risk Score Of Beneficiaries |
1.7405 |