National Provider Identifier [NPI]: |
1811989114 |
Last Name Of The Provider |
GEBHARD |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
627 25 1/2 RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
GRAND JUNCTION |
Zip Code Of The Provider |
815056401 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
119 |
Number Of Services |
2882 |
Number Of Medicare Beneficiaries |
398 |
Total Submitted Charge Amount |
1156008.09 |
Total Medicare Allowed Amount |
376404.75 |
Total Medicare Payment Amount |
289295.98 |
Total Medicare Standardized Payment Amount |
276433.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
1260 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
19548 |
Total Drug Medicare AllowedAmount |
2329.58 |
Total Drug Medicare PaymentAmount |
1823.22 |
Total Drug Medicare Standardized Payment Amount |
1823.22 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
115 |
Number Of Medical Services |
1622 |
Number Of Medicare Beneficiaries With Medical Services |
398 |
Total Medical Submitted Charge Amount |
1136460.09 |
Total Medical Medicare Allowed Amount |
374075.17 |
Total Medical Medicare Payment Amount |
287472.76 |
Total Medical Medicare Standardized Payment Amount |
274609.94 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
44 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
36 |
Number Of Female Beneficiaries |
226 |
Number Of Male Beneficiaries |
172 |
Number Of Non Hispanic White Beneficiaries |
376 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
339 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
59 |
Percent Of With Atrial Fibrillation |
7 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
11 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
30 |
Percent Of With Hypertension |
52 |
Percent Of With Ischemic Heart Disease |
21 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
68 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9704 |