National Provider Identifier [NPI]: |
1093797276 |
Last Name Of The Provider |
GASPARIS |
First Name Of The Provider |
MILTON |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
MD PHD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1352 S LAKE PARK AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HOBART |
Zip Code Of The Provider |
463425964 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
11815 |
Number Of Medicare Beneficiaries |
918 |
Total Submitted Charge Amount |
734766 |
Total Medicare Allowed Amount |
480206.71 |
Total Medicare Payment Amount |
351314.16 |
Total Medicare Standardized Payment Amount |
338711.36 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
2476 |
Number Of Medicare Beneficiaries With Drug Services |
464 |
Total Drug Submitted ChargeAmount |
46701 |
Total Drug Medicare AllowedAmount |
6811.8 |
Total Drug Medicare PaymentAmount |
5648.43 |
Total Drug Medicare Standardized Payment Amount |
5648.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
9339 |
Number Of Medicare Beneficiaries With Medical Services |
917 |
Total Medical Submitted Charge Amount |
688065 |
Total Medical Medicare Allowed Amount |
473394.91 |
Total Medical Medicare Payment Amount |
345665.73 |
Total Medical Medicare Standardized Payment Amount |
333062.93 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
115 |
Number Of Beneficiaries Age 65 to 74 |
294 |
Number Of Beneficiaries Age 75 to 84 |
334 |
Number Of Beneficiaries Age Greater 84 |
175 |
Number Of Female Beneficiaries |
512 |
Number Of Male Beneficiaries |
406 |
Number Of Non Hispanic White Beneficiaries |
847 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
47 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
821 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
97 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
62 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
12 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2319 |