National Provider Identifier [NPI]: |
1982600946 |
Last Name Of The Provider |
GERGES |
First Name Of The Provider |
CHAWKI |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
128 N AKERS ST |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
VISALIA |
Zip Code Of The Provider |
932915121 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
69 |
Number Of Services |
15653 |
Number Of Medicare Beneficiaries |
1887 |
Total Submitted Charge Amount |
2415334.53 |
Total Medicare Allowed Amount |
1421770.16 |
Total Medicare Payment Amount |
1072879.08 |
Total Medicare Standardized Payment Amount |
1042916.02 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
13 |
Number Of Drug Services |
3233 |
Number Of Medicare Beneficiaries With Drug Services |
704 |
Total Drug Submitted ChargeAmount |
141321.4 |
Total Drug Medicare AllowedAmount |
61053.59 |
Total Drug Medicare PaymentAmount |
52775.89 |
Total Drug Medicare Standardized Payment Amount |
52775.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
56 |
Number Of Medical Services |
12420 |
Number Of Medicare Beneficiaries With Medical Services |
1887 |
Total Medical Submitted Charge Amount |
2274013.13 |
Total Medical Medicare Allowed Amount |
1360716.57 |
Total Medical Medicare Payment Amount |
1020103.19 |
Total Medical Medicare Standardized Payment Amount |
990140.13 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
184 |
Number Of Beneficiaries Age 65 to 74 |
650 |
Number Of Beneficiaries Age 75 to 84 |
666 |
Number Of Beneficiaries Age Greater 84 |
387 |
Number Of Female Beneficiaries |
1011 |
Number Of Male Beneficiaries |
876 |
Number Of Non Hispanic White Beneficiaries |
1486 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
329 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
406 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
26 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.612 |