National Provider Identifier [NPI]: |
1417909821 |
Last Name Of The Provider |
GABOR |
First Name Of The Provider |
ELENA |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4106 W LAKE MARY BLVD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
LAKE MARY |
Zip Code Of The Provider |
327463315 |
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 |
79 |
Number Of Services |
3630 |
Number Of Medicare Beneficiaries |
388 |
Total Submitted Charge Amount |
473805 |
Total Medicare Allowed Amount |
179851.13 |
Total Medicare Payment Amount |
137075.39 |
Total Medicare Standardized Payment Amount |
139463.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
1338 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
63733 |
Total Drug Medicare AllowedAmount |
21567.25 |
Total Drug Medicare PaymentAmount |
17616 |
Total Drug Medicare Standardized Payment Amount |
17616 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
2292 |
Number Of Medicare Beneficiaries With Medical Services |
388 |
Total Medical Submitted Charge Amount |
410072 |
Total Medical Medicare Allowed Amount |
158283.88 |
Total Medical Medicare Payment Amount |
119459.39 |
Total Medical Medicare Standardized Payment Amount |
121847.43 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
37 |
Number Of Beneficiaries Age 65 to 74 |
209 |
Number Of Beneficiaries Age 75 to 84 |
100 |
Number Of Beneficiaries Age Greater 84 |
42 |
Number Of Female Beneficiaries |
264 |
Number Of Male Beneficiaries |
124 |
Number Of Non Hispanic White Beneficiaries |
353 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
371 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
17 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.9331 |