National Provider Identifier [NPI]: |
1104859289 |
Last Name Of The Provider |
GELIN |
First Name Of The Provider |
JOHN |
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 |
7648 S FLORIDA AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
FLORAL CITY |
Zip Code Of The Provider |
344362738 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
6288 |
Number Of Medicare Beneficiaries |
805 |
Total Submitted Charge Amount |
675607 |
Total Medicare Allowed Amount |
393230.91 |
Total Medicare Payment Amount |
284150.52 |
Total Medicare Standardized Payment Amount |
284054.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
473 |
Number Of Medicare Beneficiaries With Drug Services |
269 |
Total Drug Submitted ChargeAmount |
9302 |
Total Drug Medicare AllowedAmount |
5297.81 |
Total Drug Medicare PaymentAmount |
4951.29 |
Total Drug Medicare Standardized Payment Amount |
4951.29 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
5815 |
Number Of Medicare Beneficiaries With Medical Services |
805 |
Total Medical Submitted Charge Amount |
666305 |
Total Medical Medicare Allowed Amount |
387933.1 |
Total Medical Medicare Payment Amount |
279199.23 |
Total Medical Medicare Standardized Payment Amount |
279103.6 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
125 |
Number Of Beneficiaries Age 65 to 74 |
250 |
Number Of Beneficiaries Age 75 to 84 |
285 |
Number Of Beneficiaries Age Greater 84 |
145 |
Number Of Female Beneficiaries |
459 |
Number Of Male Beneficiaries |
346 |
Number Of Non Hispanic White Beneficiaries |
765 |
Number Of Black or African American Beneficiaries |
22 |
Number Of AsianPacific Islander Beneficiaries |
0 |
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 |
598 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
207 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
24 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2978 |