National Provider Identifier [NPI]: |
1962406298 |
Last Name Of The Provider |
GABER |
First Name Of The Provider |
EDWARD |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
231 SAINT ANN DR |
Street Address 2 Of The Provider |
STE 2 |
City Of The Provider |
MANDEVILLE |
Zip Code Of The Provider |
704713219 |
State Code Of The Provider |
LA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
52 |
Number Of Services |
1677 |
Number Of Medicare Beneficiaries |
713 |
Total Submitted Charge Amount |
361591.3 |
Total Medicare Allowed Amount |
201363.53 |
Total Medicare Payment Amount |
149236.55 |
Total Medicare Standardized Payment Amount |
162119.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
96 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
4416 |
Total Drug Medicare AllowedAmount |
2625.49 |
Total Drug Medicare PaymentAmount |
2570.05 |
Total Drug Medicare Standardized Payment Amount |
2570.05 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
1581 |
Number Of Medicare Beneficiaries With Medical Services |
713 |
Total Medical Submitted Charge Amount |
357175.3 |
Total Medical Medicare Allowed Amount |
198738.04 |
Total Medical Medicare Payment Amount |
146666.5 |
Total Medical Medicare Standardized Payment Amount |
159549.62 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
239 |
Number Of Beneficiaries Age 75 to 84 |
211 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
417 |
Number Of Male Beneficiaries |
296 |
Number Of Non Hispanic White Beneficiaries |
571 |
Number Of Black or African American Beneficiaries |
116 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
11 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
522 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
43 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.8424 |