National Provider Identifier [NPI]: |
1437150331 |
Last Name Of The Provider |
GUTER |
First Name Of The Provider |
KARL |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3000 15TH AVENUE SOUTH |
Street Address 2 Of The Provider |
|
City Of The Provider |
GREAT FALLS |
Zip Code Of The Provider |
59405 |
State Code Of The Provider |
MT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Medical Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
57 |
Number Of Services |
4601 |
Number Of Medicare Beneficiaries |
406 |
Total Submitted Charge Amount |
243923.34 |
Total Medicare Allowed Amount |
206963.37 |
Total Medicare Payment Amount |
153580.69 |
Total Medicare Standardized Payment Amount |
151841.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
17 |
Number Of Drug Services |
2293 |
Number Of Medicare Beneficiaries With Drug Services |
109 |
Total Drug Submitted ChargeAmount |
51620.6 |
Total Drug Medicare AllowedAmount |
24724.07 |
Total Drug Medicare PaymentAmount |
20200.39 |
Total Drug Medicare Standardized Payment Amount |
20200.39 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
2308 |
Number Of Medicare Beneficiaries With Medical Services |
406 |
Total Medical Submitted Charge Amount |
192302.74 |
Total Medical Medicare Allowed Amount |
182239.3 |
Total Medical Medicare Payment Amount |
133380.3 |
Total Medical Medicare Standardized Payment Amount |
131641.01 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
26 |
Number Of Beneficiaries Age 65 to 74 |
162 |
Number Of Beneficiaries Age 75 to 84 |
138 |
Number Of Beneficiaries Age Greater 84 |
80 |
Number Of Female Beneficiaries |
237 |
Number Of Male Beneficiaries |
169 |
Number Of Non Hispanic White Beneficiaries |
373 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
368 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
38 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
23 |
Percent Of With Hyperlipidemia |
38 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.7207 |