Medicare Facts for Dr. James E. Gilbert, MD


National Provider Identifier [NPI]: 1164472569
Last Name Of The Provider GILBERT
First Name Of The Provider JAMES
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 8401 COLESVILLE RD
Street Address 2 Of The Provider SUITE 50
City Of The Provider SILVER SPRING
Zip Code Of The Provider 209103312
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Orthopedic Surgery
Medicare Participation Indicator Y
Number Of HCPCS 94
Number Of Services 3229
Number Of Medicare Beneficiaries 265
Total Submitted Charge Amount 471467
Total Medicare Allowed Amount 149512.09
Total Medicare Payment Amount 110919.48
Total Medicare Standardized Payment Amount 87033.54
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 7
Number Of Drug Services 126
Number Of Medicare Beneficiaries With Drug Services 46
Total Drug Submitted ChargeAmount 6228.59
Total Drug Medicare AllowedAmount 3023.49
Total Drug Medicare PaymentAmount 2367.9
Total Drug Medicare Standardized Payment Amount 2367.9
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 87
Number Of Medical Services 3103
Number Of Medicare Beneficiaries With Medical Services 265
Total Medical Submitted Charge Amount 465238.41
Total Medical Medicare Allowed Amount 146488.6
Total Medical Medicare Payment Amount 108551.58
Total Medical Medicare Standardized Payment Amount 84665.64
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 30
Number Of Beneficiaries Age 65 to 74 146
Number Of Beneficiaries Age 75 to 84 70
Number Of Beneficiaries Age Greater 84 19
Number Of Female Beneficiaries 170
Number Of Male Beneficiaries 95
Number Of Non Hispanic White Beneficiaries 126
Number Of Black or African American Beneficiaries 101
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 27
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 222
Number Of Beneficiaries With Medicare Medicaid Entitlement 43
Percent Of With Atrial Fibrillation 5
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 7
Percent Of With Cancer 9
Percent Of With Heart Failure 10
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 5
Percent Of With Depression 20
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 25
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 64
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.894

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