National Provider Identifier [NPI]: |
1548243827 |
Last Name Of The Provider |
GILL |
First Name Of The Provider |
SHARON |
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 |
815 BAY AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
CAPITOLA |
Zip Code Of The Provider |
950102186 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
24 |
Number Of Services |
3706 |
Number Of Medicare Beneficiaries |
1103 |
Total Submitted Charge Amount |
649375 |
Total Medicare Allowed Amount |
209521.98 |
Total Medicare Payment Amount |
155112.34 |
Total Medicare Standardized Payment Amount |
150296.73 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
1671 |
Number Of Medicare Beneficiaries With Drug Services |
66 |
Total Drug Submitted ChargeAmount |
78143 |
Total Drug Medicare AllowedAmount |
26980.84 |
Total Drug Medicare PaymentAmount |
21111.02 |
Total Drug Medicare Standardized Payment Amount |
21111.02 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
15 |
Number Of Medical Services |
2035 |
Number Of Medicare Beneficiaries With Medical Services |
1103 |
Total Medical Submitted Charge Amount |
571232 |
Total Medical Medicare Allowed Amount |
182541.14 |
Total Medical Medicare Payment Amount |
134001.32 |
Total Medical Medicare Standardized Payment Amount |
129185.71 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
121 |
Number Of Beneficiaries Age 65 to 74 |
567 |
Number Of Beneficiaries Age 75 to 84 |
296 |
Number Of Beneficiaries Age Greater 84 |
119 |
Number Of Female Beneficiaries |
863 |
Number Of Male Beneficiaries |
240 |
Number Of Non Hispanic White Beneficiaries |
896 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
23 |
Number Of Hispanic Beneficiaries |
151 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
912 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
191 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
23 |
Percent Of With Osteoporosis |
33 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.1438 |