National Provider Identifier [NPI]: |
1316906225 |
Last Name Of The Provider |
GELERIS |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
420 W ROWLAND ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
COVINA |
Zip Code Of The Provider |
917232943 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
5454 |
Number Of Medicare Beneficiaries |
397 |
Total Submitted Charge Amount |
189679.5 |
Total Medicare Allowed Amount |
128267.95 |
Total Medicare Payment Amount |
95345.59 |
Total Medicare Standardized Payment Amount |
90717.54 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
4646 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
51684 |
Total Drug Medicare AllowedAmount |
26002.76 |
Total Drug Medicare PaymentAmount |
20340.88 |
Total Drug Medicare Standardized Payment Amount |
20340.88 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
808 |
Number Of Medicare Beneficiaries With Medical Services |
397 |
Total Medical Submitted Charge Amount |
137995.5 |
Total Medical Medicare Allowed Amount |
102265.19 |
Total Medical Medicare Payment Amount |
75004.71 |
Total Medical Medicare Standardized Payment Amount |
70376.66 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
118 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
228 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
208 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
45 |
Number Of Hispanic Beneficiaries |
132 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
212 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
185 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
40 |
Percent Of With Chronic Obstructive Pulmonary Disease |
23 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
57 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
51 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.2324 |