National Provider Identifier [NPI]: |
1912975251 |
Last Name Of The Provider |
GUMBEL |
First Name Of The Provider |
FRANCIS |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD PA |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
26 S CORIA ST |
Street Address 2 Of The Provider |
STE B |
City Of The Provider |
BROWNSVILLE |
Zip Code Of The Provider |
785207566 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
109 |
Number Of Services |
4303 |
Number Of Medicare Beneficiaries |
481 |
Total Submitted Charge Amount |
490543.15 |
Total Medicare Allowed Amount |
269428.49 |
Total Medicare Payment Amount |
195266.29 |
Total Medicare Standardized Payment Amount |
206868.23 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
98 |
Total Drug Submitted ChargeAmount |
5375 |
Total Drug Medicare AllowedAmount |
815.17 |
Total Drug Medicare PaymentAmount |
796.99 |
Total Drug Medicare Standardized Payment Amount |
796.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
4202 |
Number Of Medicare Beneficiaries With Medical Services |
481 |
Total Medical Submitted Charge Amount |
485168.15 |
Total Medical Medicare Allowed Amount |
268613.32 |
Total Medical Medicare Payment Amount |
194469.3 |
Total Medical Medicare Standardized Payment Amount |
206071.24 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
33 |
Number Of Beneficiaries Age 65 to 74 |
179 |
Number Of Beneficiaries Age 75 to 84 |
160 |
Number Of Beneficiaries Age Greater 84 |
109 |
Number Of Female Beneficiaries |
274 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
152 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
318 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
325 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.7193 |