National Provider Identifier [NPI]: |
1285797563 |
Last Name Of The Provider |
GALBUT |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
400 8TH ST N |
Street Address 2 Of The Provider |
|
City Of The Provider |
NAPLES |
Zip Code Of The Provider |
341025519 |
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 |
105 |
Number Of Services |
9909 |
Number Of Medicare Beneficiaries |
1656 |
Total Submitted Charge Amount |
678078.78 |
Total Medicare Allowed Amount |
338254.2 |
Total Medicare Payment Amount |
269334.96 |
Total Medicare Standardized Payment Amount |
262049.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
2397 |
Number Of Medicare Beneficiaries With Drug Services |
353 |
Total Drug Submitted ChargeAmount |
72625.78 |
Total Drug Medicare AllowedAmount |
36798.37 |
Total Drug Medicare PaymentAmount |
30331.33 |
Total Drug Medicare Standardized Payment Amount |
30331.33 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
7512 |
Number Of Medicare Beneficiaries With Medical Services |
1656 |
Total Medical Submitted Charge Amount |
605453 |
Total Medical Medicare Allowed Amount |
301455.83 |
Total Medical Medicare Payment Amount |
239003.63 |
Total Medical Medicare Standardized Payment Amount |
231718.07 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
634 |
Number Of Beneficiaries Age Greater 84 |
382 |
Number Of Female Beneficiaries |
768 |
Number Of Male Beneficiaries |
888 |
Number Of Non Hispanic White Beneficiaries |
1567 |
Number Of Black or African American Beneficiaries |
17 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
53 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1548 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
108 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
28 |
Percent Of With Chronic Kidney Disease |
34 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.4604 |