Medicare Facts for Diane Gibbs, LPC


National Provider Identifier [NPI]: 1588665988
Last Name Of The Provider GIBBS
First Name Of The Provider DIANE
Middle Initial Of The Provider C
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 10580 N MERIDIAN ST
Street Address 2 Of The Provider
City Of The Provider INDIANAPOLIS
Zip Code Of The Provider 462901028
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Anesthesiology
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 598
Number Of Medicare Beneficiaries 174
Total Submitted Charge Amount 526622
Total Medicare Allowed Amount 117699.46
Total Medicare Payment Amount 89286.01
Total Medicare Standardized Payment Amount 96837.75
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 36
Number Of Medical Services 598
Number Of Medicare Beneficiaries With Medical Services 174
Total Medical Submitted Charge Amount 526622
Total Medical Medicare Allowed Amount 117699.46
Total Medical Medicare Payment Amount 89286.01
Total Medical Medicare Standardized Payment Amount 96837.75
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65
Number Of Beneficiaries Age 65 to 74 81
Number Of Beneficiaries Age 75 to 84 65
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 62
Number Of Male Beneficiaries 112
Number Of Non Hispanic White Beneficiaries 161
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 0
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 157
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 51
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 7
Percent Of With Cancer 20
Percent Of With Heart Failure 53
Percent Of With Chronic Kidney Disease 42
Percent Of With Chronic Obstructive Pulmonary Disease 36
Percent Of With Depression 18
Percent Of With Diabetes 42
Percent Of With Hyperlipidemia 74
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 75
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 41
Percent Of With Schizophrenia Other PsychoticDisorders 8
Percent Of With Stroke 10
Average HCC Risk Score Of Beneficiaries 1.4025

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