Medicare Facts for Dr. Paul A. Gertler, MD


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

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