National Provider Identifier [NPI]: |
1538208384 |
Last Name Of The Provider |
GERSON |
First Name Of The Provider |
CYNTHIA |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
530 S JACKSON ST |
Street Address 2 Of The Provider |
SUITE C07 |
City Of The Provider |
LOUISVILLE |
Zip Code Of The Provider |
402021675 |
State Code Of The Provider |
KY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
2192 |
Number Of Medicare Beneficiaries |
1178 |
Total Submitted Charge Amount |
292090 |
Total Medicare Allowed Amount |
85334.33 |
Total Medicare Payment Amount |
65662.64 |
Total Medicare Standardized Payment Amount |
70205.57 |
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 |
109 |
Number Of Medical Services |
2192 |
Number Of Medicare Beneficiaries With Medical Services |
1178 |
Total Medical Submitted Charge Amount |
292090 |
Total Medical Medicare Allowed Amount |
85334.33 |
Total Medical Medicare Payment Amount |
65662.64 |
Total Medical Medicare Standardized Payment Amount |
70205.57 |
Average Age Of Beneficiaries |
66 |
Number Of Beneficiaries Age Less65 |
452 |
Number Of Beneficiaries Age 65 to 74 |
395 |
Number Of Beneficiaries Age 75 to 84 |
231 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
613 |
Number Of Male Beneficiaries |
565 |
Number Of Non Hispanic White Beneficiaries |
908 |
Number Of Black or African American Beneficiaries |
248 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
635 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
543 |
Percent Of With Atrial Fibrillation |
17 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
32 |
Percent Of With Depression |
42 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
13 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.945 |