National Provider Identifier [NPI]: |
1962433557 |
Last Name Of The Provider |
GILL |
First Name Of The Provider |
GURPREET |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1924 FOREST RIDGE DR STE B |
Street Address 2 Of The Provider |
|
City Of The Provider |
BEDFORD |
Zip Code Of The Provider |
760215727 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
66 |
Number Of Services |
5105 |
Number Of Medicare Beneficiaries |
542 |
Total Submitted Charge Amount |
650163.51 |
Total Medicare Allowed Amount |
295828.1 |
Total Medicare Payment Amount |
216139.7 |
Total Medicare Standardized Payment Amount |
220933.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1877 |
Number Of Medicare Beneficiaries With Drug Services |
100 |
Total Drug Submitted ChargeAmount |
92595.51 |
Total Drug Medicare AllowedAmount |
25576.48 |
Total Drug Medicare PaymentAmount |
20325.51 |
Total Drug Medicare Standardized Payment Amount |
20325.51 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
57 |
Number Of Medical Services |
3228 |
Number Of Medicare Beneficiaries With Medical Services |
542 |
Total Medical Submitted Charge Amount |
557568 |
Total Medical Medicare Allowed Amount |
270251.62 |
Total Medical Medicare Payment Amount |
195814.19 |
Total Medical Medicare Standardized Payment Amount |
200607.61 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
146 |
Number Of Beneficiaries Age 75 to 84 |
220 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
400 |
Number Of Male Beneficiaries |
142 |
Number Of Non Hispanic White Beneficiaries |
468 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
18 |
Number Of Hispanic Beneficiaries |
32 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
460 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
82 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
46 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
41 |
Percent Of With Osteoporosis |
20 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
58 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.6936 |