National Provider Identifier [NPI]: |
1053371658 |
Last Name Of The Provider |
GILBERT |
First Name Of The Provider |
NEIL |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18535 W 12 MILE RD |
Street Address 2 Of The Provider |
SUITE A |
City Of The Provider |
LATHRUP VILLAGE |
Zip Code Of The Provider |
480762676 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
46 |
Number Of Services |
6203 |
Number Of Medicare Beneficiaries |
920 |
Total Submitted Charge Amount |
897983.83 |
Total Medicare Allowed Amount |
618116.3 |
Total Medicare Payment Amount |
475860.95 |
Total Medicare Standardized Payment Amount |
461832.83 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
730 |
Number Of Medicare Beneficiaries With Drug Services |
31 |
Total Drug Submitted ChargeAmount |
7155 |
Total Drug Medicare AllowedAmount |
3467.54 |
Total Drug Medicare PaymentAmount |
2705.93 |
Total Drug Medicare Standardized Payment Amount |
2705.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
5473 |
Number Of Medicare Beneficiaries With Medical Services |
920 |
Total Medical Submitted Charge Amount |
890828.83 |
Total Medical Medicare Allowed Amount |
614648.76 |
Total Medical Medicare Payment Amount |
473155.02 |
Total Medical Medicare Standardized Payment Amount |
459126.9 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
182 |
Number Of Beneficiaries Age 65 to 74 |
288 |
Number Of Beneficiaries Age 75 to 84 |
286 |
Number Of Beneficiaries Age Greater 84 |
164 |
Number Of Female Beneficiaries |
517 |
Number Of Male Beneficiaries |
403 |
Number Of Non Hispanic White Beneficiaries |
636 |
Number Of Black or African American Beneficiaries |
201 |
Number Of AsianPacific Islander Beneficiaries |
31 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
38 |
Number Of Beneficiaries With Medicare Only Entitlement |
620 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
300 |
Percent Of With Atrial Fibrillation |
22 |
Percent Of With Alzheimers Disease or Dementia |
42 |
Percent Of With Asthma |
16 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
44 |
Percent Of With Chronic Kidney Disease |
46 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
65 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
16 |
Percent Of With Stroke |
37 |
Average HCC Risk Score Of Beneficiaries |
2.3343 |