Medicare Facts for Dr. Gilbert F. Gelfand, MD


National Provider Identifier [NPI]: 1942247580
Last Name Of The Provider GELFAND
First Name Of The Provider GILBERT
Middle Initial Of The Provider F
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 9040 TELEGRAPH RD
Street Address 2 Of The Provider SUITE 100
City Of The Provider DOWNEY
Zip Code Of The Provider 902402393
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 37
Number Of Services 2991
Number Of Medicare Beneficiaries 313
Total Submitted Charge Amount 226175.01
Total Medicare Allowed Amount 177265.17
Total Medicare Payment Amount 129665.85
Total Medicare Standardized Payment Amount 121101.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 1723
Number Of Medicare Beneficiaries With Drug Services 89
Total Drug Submitted ChargeAmount 81191.01
Total Drug Medicare AllowedAmount 65193.71
Total Drug Medicare PaymentAmount 51147.22
Total Drug Medicare Standardized Payment Amount 51147.22
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 1268
Number Of Medicare Beneficiaries With Medical Services 313
Total Medical Submitted Charge Amount 144984
Total Medical Medicare Allowed Amount 112071.46
Total Medical Medicare Payment Amount 78518.63
Total Medical Medicare Standardized Payment Amount 69954.49
Average Age Of Beneficiaries 69
Number Of Beneficiaries Age Less65 81
Number Of Beneficiaries Age 65 to 74 112
Number Of Beneficiaries Age 75 to 84 99
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 245
Number Of Male Beneficiaries 68
Number Of Non Hispanic White Beneficiaries 129
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 17
Number Of Hispanic Beneficiaries 154
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 185
Number Of Beneficiaries With Medicare Medicaid Entitlement 128
Percent Of With Atrial Fibrillation 6
Percent Of With Alzheimers Disease or Dementia 12
Percent Of With Asthma 6
Percent Of With Cancer 6
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 31
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 24
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 31
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.5459

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