Medicare Facts for Justin R. Gibb, CRNA


National Provider Identifier [NPI]: 1023263894
Last Name Of The Provider GIBB
First Name Of The Provider JUSTIN
Middle Initial Of The Provider R
Credentials Of The Provider CRNA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 351 SW 9TH ST
Street Address 2 Of The Provider
City Of The Provider ONTARIO
Zip Code Of The Provider 979142639
State Code Of The Provider OR
Country Code Of The Provider US
Provider Type Of The Provider CRNA
Medicare Participation Indicator Y
Number Of HCPCS 42
Number Of Services 186
Number Of Medicare Beneficiaries 126
Total Submitted Charge Amount 131853.1
Total Medicare Allowed Amount 37206.35
Total Medicare Payment Amount 28889.66
Total Medicare Standardized Payment Amount 30097.97
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 42
Number Of Medical Services 186
Number Of Medicare Beneficiaries With Medical Services 126
Total Medical Submitted Charge Amount 131853.1
Total Medical Medicare Allowed Amount 37206.35
Total Medical Medicare Payment Amount 28889.66
Total Medical Medicare Standardized Payment Amount 30097.97
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 28
Number Of Beneficiaries Age 65 to 74 54
Number Of Beneficiaries Age 75 to 84 32
Number Of Beneficiaries Age Greater 84 12
Number Of Female Beneficiaries 73
Number Of Male Beneficiaries 53
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 97
Number Of Beneficiaries With Medicare Medicaid Entitlement 29
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma
Percent Of With Cancer 15
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 15
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 30
Percent Of With Diabetes 25
Percent Of With Hyperlipidemia 47
Percent Of With Hypertension 64
Percent Of With Ischemic Heart Disease 17
Percent Of With Osteoporosis 13
Percent Of With Rheumatoid Arthritis Osteoarthritis 48
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9956

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