| National Provider Identifier [NPI]: | 1275581449 |
| Last Name Of The Provider | GIBBS |
| First Name Of The Provider | PAMALA |
| Middle Initial Of The Provider | J |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | F |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 129 WHETSTONE ST |
| Street Address 2 Of The Provider | |
| City Of The Provider | MONROEVILLE |
| Zip Code Of The Provider | 364602625 |
| State Code Of The Provider | AL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 57 |
| Number Of Services | 10155 |
| Number Of Medicare Beneficiaries | 1629 |
| Total Submitted Charge Amount | 541792 |
| Total Medicare Allowed Amount | 348981.68 |
| Total Medicare Payment Amount | 237767.39 |
| Total Medicare Standardized Payment Amount | 257086 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 4361 |
| Number Of Medicare Beneficiaries With Drug Services | 637 |
| Total Drug Submitted ChargeAmount | 40313 |
| Total Drug Medicare AllowedAmount | 8217.52 |
| Total Drug Medicare PaymentAmount | 6504.5 |
| Total Drug Medicare Standardized Payment Amount | 6504.5 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 46 |
| Number Of Medical Services | 5794 |
| Number Of Medicare Beneficiaries With Medical Services | 1628 |
| Total Medical Submitted Charge Amount | 501479 |
| Total Medical Medicare Allowed Amount | 340764.16 |
| Total Medical Medicare Payment Amount | 231262.89 |
| Total Medical Medicare Standardized Payment Amount | 250581.5 |
| Average Age Of Beneficiaries | 72 |
| Number Of Beneficiaries Age Less65 | 286 |
| Number Of Beneficiaries Age 65 to 74 | 622 |
| Number Of Beneficiaries Age 75 to 84 | 494 |
| Number Of Beneficiaries Age Greater 84 | 227 |
| Number Of Female Beneficiaries | 997 |
| Number Of Male Beneficiaries | 632 |
| Number Of Non Hispanic White Beneficiaries | 1164 |
| Number Of Black or African American Beneficiaries | 437 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | |
| Number Of American Indian Alaska Native Beneficiaries | 12 |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1205 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 424 |
| Percent Of With Atrial Fibrillation | 11 |
| Percent Of With Alzheimers Disease or Dementia | 14 |
| Percent Of With Asthma | 5 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 23 |
| Percent Of With Chronic Kidney Disease | 19 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 20 |
| Percent Of With Depression | 10 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 55 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 5 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 46 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 3 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.0702 |