Medicare Facts for Dr. Efren A. Gomez, OD


National Provider Identifier [NPI]: 1639483936
Last Name Of The Provider GOMEZ
First Name Of The Provider EFREN
Middle Initial Of The Provider A
Credentials Of The Provider O.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1703 CALUMET AVE
Street Address 2 Of The Provider SUITE B
City Of The Provider WHITING
Zip Code Of The Provider 463941414
State Code Of The Provider IN
Country Code Of The Provider US
Provider Type Of The Provider Optometry
Medicare Participation Indicator Y
Number Of HCPCS 19
Number Of Services 315
Number Of Medicare Beneficiaries 218
Total Submitted Charge Amount 28518.32
Total Medicare Allowed Amount 22339.06
Total Medicare Payment Amount 14707.41
Total Medicare Standardized Payment Amount 17051.2
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 19
Number Of Medical Services 315
Number Of Medicare Beneficiaries With Medical Services 218
Total Medical Submitted Charge Amount 28518.32
Total Medical Medicare Allowed Amount 22339.06
Total Medical Medicare Payment Amount 14707.41
Total Medical Medicare Standardized Payment Amount 17051.2
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 23
Number Of Beneficiaries Age 65 to 74 89
Number Of Beneficiaries Age 75 to 84 69
Number Of Beneficiaries Age Greater 84 37
Number Of Female Beneficiaries 142
Number Of Male Beneficiaries 76
Number Of Non Hispanic White Beneficiaries 152
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 45
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 29
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 10
Percent Of With Asthma 7
Percent Of With Cancer 7
Percent Of With Heart Failure 23
Percent Of With Chronic Kidney Disease 25
Percent Of With Chronic Obstructive Pulmonary Disease 13
Percent Of With Depression 14
Percent Of With Diabetes 45
Percent Of With Hyperlipidemia 58
Percent Of With Hypertension 69
Percent Of With Ischemic Heart Disease 39
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.1957

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