National Provider Identifier [NPI]: |
1871603100 |
Last Name Of The Provider |
GARCIA |
First Name Of The Provider |
GAMALIEL |
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 |
571 UNION AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FRAMINGHAM |
Zip Code Of The Provider |
017025855 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
38 |
Number Of Services |
1988 |
Number Of Medicare Beneficiaries |
335 |
Total Submitted Charge Amount |
298699.02 |
Total Medicare Allowed Amount |
113047.81 |
Total Medicare Payment Amount |
83522.1 |
Total Medicare Standardized Payment Amount |
78400.5 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
164 |
Number Of Medicare Beneficiaries With Drug Services |
112 |
Total Drug Submitted ChargeAmount |
5507.5 |
Total Drug Medicare AllowedAmount |
2895.12 |
Total Drug Medicare PaymentAmount |
2811.95 |
Total Drug Medicare Standardized Payment Amount |
2811.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
31 |
Number Of Medical Services |
1824 |
Number Of Medicare Beneficiaries With Medical Services |
335 |
Total Medical Submitted Charge Amount |
293191.52 |
Total Medical Medicare Allowed Amount |
110152.69 |
Total Medical Medicare Payment Amount |
80710.15 |
Total Medical Medicare Standardized Payment Amount |
75588.55 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
31 |
Number Of Beneficiaries Age 65 to 74 |
103 |
Number Of Beneficiaries Age 75 to 84 |
101 |
Number Of Beneficiaries Age Greater 84 |
100 |
Number Of Female Beneficiaries |
172 |
Number Of Male Beneficiaries |
163 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
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 |
279 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
56 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
17 |
Percent Of With Heart Failure |
35 |
Percent Of With Chronic Kidney Disease |
53 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
14 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.8503 |