Medicare Facts for Dr. Steven N. Gange, MD


National Provider Identifier [NPI]: 1790825768
Last Name Of The Provider GANGE
First Name Of The Provider STEVEN
Middle Initial Of The Provider N
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4252 HIGHLAND DR
Street Address 2 Of The Provider #200
City Of The Provider SLC
Zip Code Of The Provider 841242670
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Urology
Medicare Participation Indicator Y
Number Of HCPCS 61
Number Of Services 5671
Number Of Medicare Beneficiaries 518
Total Submitted Charge Amount 624281.14
Total Medicare Allowed Amount 213279.57
Total Medicare Payment Amount 156823.42
Total Medicare Standardized Payment Amount 164357.17
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 3530
Number Of Medicare Beneficiaries With Drug Services 25
Total Drug Submitted ChargeAmount 187032.14
Total Drug Medicare AllowedAmount 46461.21
Total Drug Medicare PaymentAmount 36050.19
Total Drug Medicare Standardized Payment Amount 36050.19
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 56
Number Of Medical Services 2141
Number Of Medicare Beneficiaries With Medical Services 518
Total Medical Submitted Charge Amount 437249
Total Medical Medicare Allowed Amount 166818.36
Total Medical Medicare Payment Amount 120773.23
Total Medical Medicare Standardized Payment Amount 128306.98
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 243
Number Of Beneficiaries Age 75 to 84 181
Number Of Beneficiaries Age Greater 84 68
Number Of Female Beneficiaries 69
Number Of Male Beneficiaries 449
Number Of Non Hispanic White Beneficiaries 482
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 21
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 496
Number Of Beneficiaries With Medicare Medicaid Entitlement 22
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma 6
Percent Of With Cancer 30
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 8
Percent Of With Depression 17
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 46
Percent Of With Hypertension 57
Percent Of With Ischemic Heart Disease 32
Percent Of With Osteoporosis 3
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0362

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