National Provider Identifier [NPI]: |
1952430464 |
Last Name Of The Provider |
GACAD |
First Name Of The Provider |
GERARDO |
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 |
6510 KENILWORTH AVE |
Street Address 2 Of The Provider |
SUITE 2700 |
City Of The Provider |
RIVERDALE |
Zip Code Of The Provider |
207371339 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
1821 |
Number Of Medicare Beneficiaries |
320 |
Total Submitted Charge Amount |
282765 |
Total Medicare Allowed Amount |
163100.38 |
Total Medicare Payment Amount |
120227.7 |
Total Medicare Standardized Payment Amount |
107531.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
29 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
1670 |
Total Drug Medicare AllowedAmount |
411.81 |
Total Drug Medicare PaymentAmount |
380.66 |
Total Drug Medicare Standardized Payment Amount |
380.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1792 |
Number Of Medicare Beneficiaries With Medical Services |
320 |
Total Medical Submitted Charge Amount |
281095 |
Total Medical Medicare Allowed Amount |
162688.57 |
Total Medical Medicare Payment Amount |
119847.04 |
Total Medical Medicare Standardized Payment Amount |
107150.7 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
132 |
Number Of Beneficiaries Age 75 to 84 |
117 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
201 |
Number Of Male Beneficiaries |
119 |
Number Of Non Hispanic White Beneficiaries |
121 |
Number Of Black or African American Beneficiaries |
169 |
Number Of AsianPacific Islander Beneficiaries |
19 |
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 |
275 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
45 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
41 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
33 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
52 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
49 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.812 |