Medicare Facts for Dr. James R. Gaul, MD


National Provider Identifier [NPI]: 1518056209
Last Name Of The Provider GAUL
First Name Of The Provider JAMES
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 106 MILFORD STREET
Street Address 2 Of The Provider SUITE 101
City Of The Provider SALISBURY
Zip Code Of The Provider 21804
State Code Of The Provider MD
Country Code Of The Provider US
Provider Type Of The Provider Otolaryngology
Medicare Participation Indicator Y
Number Of HCPCS 73
Number Of Services 9407
Number Of Medicare Beneficiaries 1166
Total Submitted Charge Amount 776408
Total Medicare Allowed Amount 461666.41
Total Medicare Payment Amount 342810.57
Total Medicare Standardized Payment Amount 335557
Drug Suppress Indicator *
Number Of HCPCS Associated With Drug Services
Number Of Drug Services
Number Of Medicare Beneficiaries With Drug Services
Total Drug Submitted ChargeAmount
Total Drug Medicare AllowedAmount
Total Drug Medicare PaymentAmount
Total Drug Medicare Standardized Payment Amount
Medical SuppressIndicator #
Number Of HCPCS Associated With MedicalServices
Number Of Medical Services
Number Of Medicare Beneficiaries With Medical Services
Total Medical Submitted Charge Amount
Total Medical Medicare Allowed Amount
Total Medical Medicare Payment Amount
Total Medical Medicare Standardized Payment Amount
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 125
Number Of Beneficiaries Age 65 to 74 480
Number Of Beneficiaries Age 75 to 84 393
Number Of Beneficiaries Age Greater 84 168
Number Of Female Beneficiaries 683
Number Of Male Beneficiaries 483
Number Of Non Hispanic White Beneficiaries 1019
Number Of Black or African American Beneficiaries 113
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 14
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 1019
Number Of Beneficiaries With Medicare Medicaid Entitlement 147
Percent Of With Atrial Fibrillation 11
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 10
Percent Of With Cancer 11
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 20
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 18
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 69
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 37
Percent Of With Osteoporosis 7
Percent Of With Rheumatoid Arthritis Osteoarthritis 43
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 7
Average HCC Risk Score Of Beneficiaries 1.1412

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