National Provider Identifier [NPI]: |
1417980376 |
Last Name Of The Provider |
GILL |
First Name Of The Provider |
ZEBA |
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 |
2819 REDROCK TRL |
Street Address 2 Of The Provider |
|
City Of The Provider |
SAN ANTONIO |
Zip Code Of The Provider |
782593519 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
108 |
Number Of Services |
10206 |
Number Of Medicare Beneficiaries |
996 |
Total Submitted Charge Amount |
1202823.77 |
Total Medicare Allowed Amount |
783369.17 |
Total Medicare Payment Amount |
583375.73 |
Total Medicare Standardized Payment Amount |
611448.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
1201 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
7334 |
Total Drug Medicare AllowedAmount |
2302.73 |
Total Drug Medicare PaymentAmount |
1836.31 |
Total Drug Medicare Standardized Payment Amount |
1836.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
9005 |
Number Of Medicare Beneficiaries With Medical Services |
996 |
Total Medical Submitted Charge Amount |
1195489.77 |
Total Medical Medicare Allowed Amount |
781066.44 |
Total Medical Medicare Payment Amount |
581539.42 |
Total Medical Medicare Standardized Payment Amount |
609612.15 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
262 |
Number Of Beneficiaries Age 65 to 74 |
361 |
Number Of Beneficiaries Age 75 to 84 |
230 |
Number Of Beneficiaries Age Greater 84 |
143 |
Number Of Female Beneficiaries |
581 |
Number Of Male Beneficiaries |
415 |
Number Of Non Hispanic White Beneficiaries |
296 |
Number Of Black or African American Beneficiaries |
79 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
610 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
403 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
593 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
35 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
60 |
Percent Of With Hyperlipidemia |
66 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
59 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
55 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0133 |