National Provider Identifier [NPI]: |
1619921673 |
Last Name Of The Provider |
GERHARDT |
First Name Of The Provider |
DONALD |
Middle Initial Of The Provider |
C |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
210 PORTLAND ST |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
COLUMBIA |
Zip Code Of The Provider |
652016677 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Gastroenterology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
5263 |
Number Of Medicare Beneficiaries |
922 |
Total Submitted Charge Amount |
952638.5 |
Total Medicare Allowed Amount |
348478.94 |
Total Medicare Payment Amount |
273228.86 |
Total Medicare Standardized Payment Amount |
286252.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
3919 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
241678.5 |
Total Drug Medicare AllowedAmount |
143179.55 |
Total Drug Medicare PaymentAmount |
112251.03 |
Total Drug Medicare Standardized Payment Amount |
112251.03 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
35 |
Number Of Medical Services |
1344 |
Number Of Medicare Beneficiaries With Medical Services |
922 |
Total Medical Submitted Charge Amount |
710960 |
Total Medical Medicare Allowed Amount |
205299.39 |
Total Medical Medicare Payment Amount |
160977.83 |
Total Medical Medicare Standardized Payment Amount |
174001.28 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
81 |
Number Of Beneficiaries Age 65 to 74 |
413 |
Number Of Beneficiaries Age 75 to 84 |
300 |
Number Of Beneficiaries Age Greater 84 |
128 |
Number Of Female Beneficiaries |
524 |
Number Of Male Beneficiaries |
398 |
Number Of Non Hispanic White Beneficiaries |
869 |
Number Of Black or African American Beneficiaries |
28 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
837 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
85 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2014 |