Medicare Facts for Dr. Nicola W. Gathaiya, MD


National Provider Identifier [NPI]: 1154513752
Last Name Of The Provider GATHAIYA
First Name Of The Provider NICOLA
Middle Initial Of The Provider W
Credentials Of The Provider MD
Gender Of The Provider F
Entity Type Of The Provider I
Street Address 1 Of The Provider 960 E. WALNUT LAWN
Street Address 2 Of The Provider SUITE 201
City Of The Provider SPRINGFIELD
Zip Code Of The Provider 65807
State Code Of The Provider MO
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 59
Number Of Services 2251
Number Of Medicare Beneficiaries 376
Total Submitted Charge Amount 162916
Total Medicare Allowed Amount 80211.86
Total Medicare Payment Amount 61944.79
Total Medicare Standardized Payment Amount 65922.31
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 354
Number Of Medicare Beneficiaries With Drug Services 13
Total Drug Submitted ChargeAmount 19212
Total Drug Medicare AllowedAmount 7357.57
Total Drug Medicare PaymentAmount 5586.45
Total Drug Medicare Standardized Payment Amount 5586.45
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 54
Number Of Medical Services 1897
Number Of Medicare Beneficiaries With Medical Services 376
Total Medical Submitted Charge Amount 143704
Total Medical Medicare Allowed Amount 72854.29
Total Medical Medicare Payment Amount 56358.34
Total Medical Medicare Standardized Payment Amount 60335.86
Average Age Of Beneficiaries 67
Number Of Beneficiaries Age Less65 118
Number Of Beneficiaries Age 65 to 74 164
Number Of Beneficiaries Age 75 to 84 75
Number Of Beneficiaries Age Greater 84 19
Number Of Female Beneficiaries 246
Number Of Male Beneficiaries 130
Number Of Non Hispanic White Beneficiaries
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 300
Number Of Beneficiaries With Medicare Medicaid Entitlement 76
Percent Of With Atrial Fibrillation 10
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 13
Percent Of With Heart Failure 20
Percent Of With Chronic Kidney Disease 35
Percent Of With Chronic Obstructive Pulmonary Disease 21
Percent Of With Depression 31
Percent Of With Diabetes 62
Percent Of With Hyperlipidemia 61
Percent Of With Hypertension 72
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 16
Percent Of With Rheumatoid Arthritis Osteoarthritis 38
Percent Of With Schizophrenia Other PsychoticDisorders 5
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.552

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