Medicare Facts for Dallin B. Gambles, PA


National Provider Identifier [NPI]: 1760533400
Last Name Of The Provider GAMBLES
First Name Of The Provider DALLIN
Middle Initial Of The Provider B
Credentials Of The Provider PA
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 380 WALKER DR
Street Address 2 Of The Provider
City Of The Provider REXBURG
Zip Code Of The Provider 834401657
State Code Of The Provider ID
Country Code Of The Provider US
Provider Type Of The Provider Physician Assistant
Medicare Participation Indicator Y
Number Of HCPCS 12
Number Of Services 574
Number Of Medicare Beneficiaries 216
Total Submitted Charge Amount 59892.25
Total Medicare Allowed Amount 49417.49
Total Medicare Payment Amount 36590.15
Total Medicare Standardized Payment Amount 45924.08
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 12
Number Of Medical Services 574
Number Of Medicare Beneficiaries With Medical Services 216
Total Medical Submitted Charge Amount 59892.25
Total Medical Medicare Allowed Amount 49417.49
Total Medical Medicare Payment Amount 36590.15
Total Medical Medicare Standardized Payment Amount 45924.08
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 15
Number Of Beneficiaries Age 65 to 74 93
Number Of Beneficiaries Age 75 to 84 86
Number Of Beneficiaries Age Greater 84 22
Number Of Female Beneficiaries 135
Number Of Male Beneficiaries 81
Number Of Non Hispanic White Beneficiaries 205
Number Of Black or African American Beneficiaries 0
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 189
Number Of Beneficiaries With Medicare Medicaid Entitlement 27
Percent Of With Atrial Fibrillation 7
Percent Of With Alzheimers Disease or Dementia 6
Percent Of With Asthma
Percent Of With Cancer 54
Percent Of With Heart Failure 14
Percent Of With Chronic Kidney Disease 22
Percent Of With Chronic Obstructive Pulmonary Disease 11
Percent Of With Depression 26
Percent Of With Diabetes 28
Percent Of With Hyperlipidemia 32
Percent Of With Hypertension 61
Percent Of With Ischemic Heart Disease 31
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 39
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.7138

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