National Provider Identifier [NPI]: |
1598875072 |
Last Name Of The Provider |
GERRITS |
First Name Of The Provider |
LINDA |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1220 LA VENTA DR |
Street Address 2 Of The Provider |
SUITE 207 |
City Of The Provider |
WESTLAKE VILLAGE |
Zip Code Of The Provider |
913613703 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
10730 |
Number Of Medicare Beneficiaries |
359 |
Total Submitted Charge Amount |
409577.5 |
Total Medicare Allowed Amount |
224724.09 |
Total Medicare Payment Amount |
170965.06 |
Total Medicare Standardized Payment Amount |
157406.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
8062 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
44520 |
Total Drug Medicare AllowedAmount |
21902.29 |
Total Drug Medicare PaymentAmount |
17128.45 |
Total Drug Medicare Standardized Payment Amount |
17128.45 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
45 |
Number Of Medical Services |
2668 |
Number Of Medicare Beneficiaries With Medical Services |
359 |
Total Medical Submitted Charge Amount |
365057.5 |
Total Medical Medicare Allowed Amount |
202821.8 |
Total Medical Medicare Payment Amount |
153836.61 |
Total Medical Medicare Standardized Payment Amount |
140278.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
|
Number Of Beneficiaries Age 65 to 74 |
174 |
Number Of Beneficiaries Age 75 to 84 |
126 |
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
275 |
Number Of Male Beneficiaries |
84 |
Number Of Non Hispanic White Beneficiaries |
336 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
13 |
Percent Of With Chronic Obstructive Pulmonary Disease |
6 |
Percent Of With Depression |
10 |
Percent Of With Diabetes |
45 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
48 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
13 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
0.8928 |