Medicare Facts for Guadalupe Gonzalez


National Provider Identifier [NPI]: 1508923889
Last Name Of The Provider GONZALEZ
First Name Of The Provider GUADALUPE
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 1901 1ST AVE
Street Address 2 Of The Provider
City Of The Provider NEW YORK
Zip Code Of The Provider 100297404
State Code Of The Provider NY
Country Code Of The Provider US
Provider Type Of The Provider Internal Medicine
Medicare Participation Indicator Y
Number Of HCPCS 10
Number Of Services 219
Number Of Medicare Beneficiaries 122
Total Submitted Charge Amount 69321
Total Medicare Allowed Amount 16973.7
Total Medicare Payment Amount 11396.88
Total Medicare Standardized Payment Amount 10493.43
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 10
Number Of Medical Services 219
Number Of Medicare Beneficiaries With Medical Services 122
Total Medical Submitted Charge Amount 69321
Total Medical Medicare Allowed Amount 16973.7
Total Medical Medicare Payment Amount 11396.88
Total Medical Medicare Standardized Payment Amount 10493.43
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 34
Number Of Beneficiaries Age 65 to 74 61
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 85
Number Of Male Beneficiaries 37
Number Of Non Hispanic White Beneficiaries
Number Of Black or African American Beneficiaries 33
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 75
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 18
Number Of Beneficiaries With Medicare Medicaid Entitlement 104
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 21
Percent Of With Cancer
Percent Of With Heart Failure 11
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 28
Percent Of With Diabetes 48
Percent Of With Hyperlipidemia 55
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 15
Percent Of With Osteoporosis 11
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders 11
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.2758

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