Medicare Facts for Dr. Shaila Gala, MD


National Provider Identifier [NPI]: 1447355813
Last Name Of The Provider GALA
First Name Of The Provider SHAILA
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 3901 HOYT AVE
Street Address 2 Of The Provider
City Of The Provider EVERETT
Zip Code Of The Provider 982014918
State Code Of The Provider WA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 85
Number Of Services 3412
Number Of Medicare Beneficiaries 300
Total Submitted Charge Amount 237550.26
Total Medicare Allowed Amount 105728.37
Total Medicare Payment Amount 79125.49
Total Medicare Standardized Payment Amount 82553.56
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 592
Number Of Medicare Beneficiaries With Drug Services 98
Total Drug Submitted ChargeAmount 22774
Total Drug Medicare AllowedAmount 11769.86
Total Drug Medicare PaymentAmount 10224.18
Total Drug Medicare Standardized Payment Amount 10224.18
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 77
Number Of Medical Services 2820
Number Of Medicare Beneficiaries With Medical Services 300
Total Medical Submitted Charge Amount 214776.26
Total Medical Medicare Allowed Amount 93958.51
Total Medical Medicare Payment Amount 68901.31
Total Medical Medicare Standardized Payment Amount 72329.38
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 41
Number Of Beneficiaries Age 65 to 74 140
Number Of Beneficiaries Age 75 to 84 87
Number Of Beneficiaries Age Greater 84 32
Number Of Female Beneficiaries 217
Number Of Male Beneficiaries 83
Number Of Non Hispanic White Beneficiaries 271
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 260
Number Of Beneficiaries With Medicare Medicaid Entitlement 40
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 11
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 19
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 35
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 23
Percent Of With Osteoporosis 21
Percent Of With Rheumatoid Arthritis Osteoarthritis 60
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.1555

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