Medicare Facts for Dr. James J. Gatto, MD


National Provider Identifier [NPI]: 1932214020
Last Name Of The Provider GATTO
First Name Of The Provider JAMES
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 915 SUMMIT AVE
Street Address 2 Of The Provider
City Of The Provider OCONOMOWOC
Zip Code Of The Provider 530663994
State Code Of The Provider WI
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 52
Number Of Services 1022
Number Of Medicare Beneficiaries 309
Total Submitted Charge Amount 173332.73
Total Medicare Allowed Amount 59777.07
Total Medicare Payment Amount 45728.99
Total Medicare Standardized Payment Amount 47822.93
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 17
Number Of Drug Services 217
Number Of Medicare Beneficiaries With Drug Services 144
Total Drug Submitted ChargeAmount 5897.73
Total Drug Medicare AllowedAmount 2701.37
Total Drug Medicare PaymentAmount 2584.76
Total Drug Medicare Standardized Payment Amount 2584.76
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 35
Number Of Medical Services 805
Number Of Medicare Beneficiaries With Medical Services 309
Total Medical Submitted Charge Amount 167435
Total Medical Medicare Allowed Amount 57075.7
Total Medical Medicare Payment Amount 43144.23
Total Medical Medicare Standardized Payment Amount 45238.17
Average Age Of Beneficiaries 70
Number Of Beneficiaries Age Less65 59
Number Of Beneficiaries Age 65 to 74 149
Number Of Beneficiaries Age 75 to 84 68
Number Of Beneficiaries Age Greater 84 33
Number Of Female Beneficiaries 148
Number Of Male Beneficiaries 161
Number Of Non Hispanic White Beneficiaries
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 261
Number Of Beneficiaries With Medicare Medicaid Entitlement 48
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 5
Percent Of With Asthma 6
Percent Of With Cancer 6
Percent Of With Heart Failure 12
Percent Of With Chronic Kidney Disease 17
Percent Of With Chronic Obstructive Pulmonary Disease 9
Percent Of With Depression 15
Percent Of With Diabetes 18
Percent Of With Hyperlipidemia 38
Percent Of With Hypertension 54
Percent Of With Ischemic Heart Disease 26
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0831

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