Medicare Facts for Dr. Ted W. Gossard, MD


National Provider Identifier [NPI]: 1538118104
Last Name Of The Provider GOSSARD
First Name Of The Provider TED
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 7175 BEECHMONT AVE
Street Address 2 Of The Provider
City Of The Provider CINCINNATI
Zip Code Of The Provider 452304111
State Code Of The Provider OH
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 46
Number Of Services 880
Number Of Medicare Beneficiaries 170
Total Submitted Charge Amount 91272
Total Medicare Allowed Amount 57628.81
Total Medicare Payment Amount 38744.89
Total Medicare Standardized Payment Amount 41641.03
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 138
Number Of Medicare Beneficiaries With Drug Services 66
Total Drug Submitted ChargeAmount 6313
Total Drug Medicare AllowedAmount 2824.25
Total Drug Medicare PaymentAmount 2651.12
Total Drug Medicare Standardized Payment Amount 2651.12
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 37
Number Of Medical Services 742
Number Of Medicare Beneficiaries With Medical Services 170
Total Medical Submitted Charge Amount 84959
Total Medical Medicare Allowed Amount 54804.56
Total Medical Medicare Payment Amount 36093.77
Total Medical Medicare Standardized Payment Amount 38989.91
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 79
Number Of Beneficiaries Age 75 to 84 42
Number Of Beneficiaries Age Greater 84 21
Number Of Female Beneficiaries 95
Number Of Male Beneficiaries 75
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries
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
Number Of Beneficiaries With Medicare Only Entitlement 154
Number Of Beneficiaries With Medicare Medicaid Entitlement 16
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma
Percent Of With Cancer 11
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 18
Percent Of With Depression 15
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 39
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 26
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9639

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