Medicare Facts for Dr. Gerald R. Higgins, MD


National Provider Identifier [NPI]: 1871560730
Last Name Of The Provider HIGGINS
First Name Of The Provider GERALD
Middle Initial Of The Provider L
Credentials Of The Provider MD LTD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8551 W LAKE MEAD BLVD
Street Address 2 Of The Provider #251
City Of The Provider LAS VEGAS
Zip Code Of The Provider 891287642
State Code Of The Provider NV
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 2272
Number Of Medicare Beneficiaries 149
Total Submitted Charge Amount 104972
Total Medicare Allowed Amount 66605.57
Total Medicare Payment Amount 46942.14
Total Medicare Standardized Payment Amount 47998.96
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 3
Number Of Drug Services 1812
Number Of Medicare Beneficiaries With Drug Services 75
Total Drug Submitted ChargeAmount 32556
Total Drug Medicare AllowedAmount 22942.28
Total Drug Medicare PaymentAmount 17088.44
Total Drug Medicare Standardized Payment Amount 17088.44
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 16
Number Of Medical Services 460
Number Of Medicare Beneficiaries With Medical Services 149
Total Medical Submitted Charge Amount 72416
Total Medical Medicare Allowed Amount 43663.29
Total Medical Medicare Payment Amount 29853.7
Total Medical Medicare Standardized Payment Amount 30910.52
Average Age Of Beneficiaries 76
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 70
Number Of Beneficiaries Age 75 to 84 59
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 92
Number Of Male Beneficiaries 57
Number Of Non Hispanic White Beneficiaries 134
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 0
Number Of Beneficiaries With Medicare Only Entitlement
Number Of Beneficiaries With Medicare Medicaid Entitlement
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 9
Percent Of With Cancer 13
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 21
Percent Of With Diabetes 23
Percent Of With Hyperlipidemia 66
Percent Of With Hypertension 66
Percent Of With Ischemic Heart Disease 36
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0821

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