National Provider Identifier [NPI]: |
1275713166 |
Last Name Of The Provider |
GEBHART |
First Name Of The Provider |
KARINA |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
PA |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
12250 E ILIFF AVE |
Street Address 2 Of The Provider |
#300 |
City Of The Provider |
AURORA |
Zip Code Of The Provider |
800146318 |
State Code Of The Provider |
CO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physician Assistant |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
2074 |
Number Of Medicare Beneficiaries |
454 |
Total Submitted Charge Amount |
293705 |
Total Medicare Allowed Amount |
149303.22 |
Total Medicare Payment Amount |
111906.77 |
Total Medicare Standardized Payment Amount |
131671.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
85 |
Number Of Medicare Beneficiaries With Drug Services |
67 |
Total Drug Submitted ChargeAmount |
4263 |
Total Drug Medicare AllowedAmount |
2017.83 |
Total Drug Medicare PaymentAmount |
1946.89 |
Total Drug Medicare Standardized Payment Amount |
1946.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
37 |
Number Of Medical Services |
1989 |
Number Of Medicare Beneficiaries With Medical Services |
454 |
Total Medical Submitted Charge Amount |
289442 |
Total Medical Medicare Allowed Amount |
147285.39 |
Total Medical Medicare Payment Amount |
109959.88 |
Total Medical Medicare Standardized Payment Amount |
129724.94 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
34 |
Number Of Beneficiaries Age 65 to 74 |
116 |
Number Of Beneficiaries Age 75 to 84 |
152 |
Number Of Beneficiaries Age Greater 84 |
152 |
Number Of Female Beneficiaries |
288 |
Number Of Male Beneficiaries |
166 |
Number Of Non Hispanic White Beneficiaries |
403 |
Number Of Black or African American Beneficiaries |
16 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
19 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
356 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
98 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
38 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
25 |
Percent Of With Chronic Kidney Disease |
30 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.7257 |