Medicare Facts for Dr. Michael E. Gonsalves, MD


National Provider Identifier [NPI]: 1477723120
Last Name Of The Provider GONSALVES
First Name Of The Provider MICHAEL
Middle Initial Of The Provider E
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 4159 MARTHA BERRY HWY NW
Street Address 2 Of The Provider
City Of The Provider ROME
Zip Code Of The Provider 301657705
State Code Of The Provider GA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 78
Number Of Services 3532
Number Of Medicare Beneficiaries 323
Total Submitted Charge Amount 199269
Total Medicare Allowed Amount 106003.44
Total Medicare Payment Amount 72807.15
Total Medicare Standardized Payment Amount 77484.54
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 783
Number Of Medicare Beneficiaries With Drug Services 140
Total Drug Submitted ChargeAmount 10122
Total Drug Medicare AllowedAmount 3564.12
Total Drug Medicare PaymentAmount 3423.7
Total Drug Medicare Standardized Payment Amount 3423.7
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 2749
Number Of Medicare Beneficiaries With Medical Services 323
Total Medical Submitted Charge Amount 189147
Total Medical Medicare Allowed Amount 102439.32
Total Medical Medicare Payment Amount 69383.45
Total Medical Medicare Standardized Payment Amount 74060.84
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 97
Number Of Beneficiaries Age 65 to 74 143
Number Of Beneficiaries Age 75 to 84 53
Number Of Beneficiaries Age Greater 84 30
Number Of Female Beneficiaries 168
Number Of Male Beneficiaries 155
Number Of Non Hispanic White Beneficiaries 288
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 177
Number Of Beneficiaries With Medicare Medicaid Entitlement 146
Percent Of With Atrial Fibrillation 9
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma
Percent Of With Cancer 6
Percent Of With Heart Failure 17
Percent Of With Chronic Kidney Disease 24
Percent Of With Chronic Obstructive Pulmonary Disease 20
Percent Of With Depression 19
Percent Of With Diabetes 31
Percent Of With Hyperlipidemia 59
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis 5
Percent Of With Rheumatoid Arthritis Osteoarthritis 29
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.0769

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