National Provider Identifier [NPI]: |
1487642468 |
Last Name Of The Provider |
GERBRACHT |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1015 DUFF AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
AMES |
Zip Code Of The Provider |
500105733 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
88 |
Number Of Services |
19692 |
Number Of Medicare Beneficiaries |
723 |
Total Submitted Charge Amount |
961619.5 |
Total Medicare Allowed Amount |
529853.67 |
Total Medicare Payment Amount |
405925.05 |
Total Medicare Standardized Payment Amount |
417961.7 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
18 |
Number Of Drug Services |
14067 |
Number Of Medicare Beneficiaries With Drug Services |
131 |
Total Drug Submitted ChargeAmount |
589816 |
Total Drug Medicare AllowedAmount |
369222.91 |
Total Drug Medicare PaymentAmount |
289578.2 |
Total Drug Medicare Standardized Payment Amount |
289578.2 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
70 |
Number Of Medical Services |
5625 |
Number Of Medicare Beneficiaries With Medical Services |
723 |
Total Medical Submitted Charge Amount |
371803.5 |
Total Medical Medicare Allowed Amount |
160630.76 |
Total Medical Medicare Payment Amount |
116346.85 |
Total Medical Medicare Standardized Payment Amount |
128383.5 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
69 |
Number Of Beneficiaries Age 65 to 74 |
303 |
Number Of Beneficiaries Age 75 to 84 |
270 |
Number Of Beneficiaries Age Greater 84 |
81 |
Number Of Female Beneficiaries |
520 |
Number Of Male Beneficiaries |
203 |
Number Of Non Hispanic White Beneficiaries |
695 |
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 |
645 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
78 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
20 |
Percent Of With Hyperlipidemia |
46 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
22 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.2719 |