National Provider Identifier [NPI]: |
1811974710 |
Last Name Of The Provider |
GERTLER |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4801 DORSEY HALL DR |
Street Address 2 Of The Provider |
STE 226 |
City Of The Provider |
ELLICOTT CITY |
Zip Code Of The Provider |
210427766 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
61673 |
Number Of Medicare Beneficiaries |
509 |
Total Submitted Charge Amount |
4038532.03 |
Total Medicare Allowed Amount |
1455008.96 |
Total Medicare Payment Amount |
1122309.55 |
Total Medicare Standardized Payment Amount |
1109202.75 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
20 |
Number Of Drug Services |
55119 |
Number Of Medicare Beneficiaries With Drug Services |
238 |
Total Drug Submitted ChargeAmount |
3542406.82 |
Total Drug Medicare AllowedAmount |
1177514.55 |
Total Drug Medicare PaymentAmount |
914943.75 |
Total Drug Medicare Standardized Payment Amount |
914943.75 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
91 |
Number Of Medical Services |
6554 |
Number Of Medicare Beneficiaries With Medical Services |
509 |
Total Medical Submitted Charge Amount |
496125.21 |
Total Medical Medicare Allowed Amount |
277494.41 |
Total Medical Medicare Payment Amount |
207365.8 |
Total Medical Medicare Standardized Payment Amount |
194259 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
63 |
Number Of Beneficiaries Age 65 to 74 |
225 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
58 |
Number Of Female Beneficiaries |
372 |
Number Of Male Beneficiaries |
137 |
Number Of Non Hispanic White Beneficiaries |
394 |
Number Of Black or African American Beneficiaries |
78 |
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 |
17 |
Number Of Beneficiaries With Medicare Only Entitlement |
481 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
28 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
12 |
Percent Of With Chronic Kidney Disease |
14 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
22 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.23 |