National Provider Identifier [NPI]: |
1477500791 |
Last Name Of The Provider |
GALLOGLY |
First Name Of The Provider |
PAUL |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3399 PGA BLVD. |
Street Address 2 Of The Provider |
SUITE 350 |
City Of The Provider |
PALM BEACH GARDENS |
Zip Code Of The Provider |
33410 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
40 |
Number Of Services |
22490 |
Number Of Medicare Beneficiaries |
1463 |
Total Submitted Charge Amount |
6050823 |
Total Medicare Allowed Amount |
4897622.33 |
Total Medicare Payment Amount |
3782725.17 |
Total Medicare Standardized Payment Amount |
3739314.58 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
5821 |
Number Of Medicare Beneficiaries With Drug Services |
426 |
Total Drug Submitted ChargeAmount |
3693030 |
Total Drug Medicare AllowedAmount |
3527434.44 |
Total Drug Medicare PaymentAmount |
2757244 |
Total Drug Medicare Standardized Payment Amount |
2757244 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
36 |
Number Of Medical Services |
16669 |
Number Of Medicare Beneficiaries With Medical Services |
1463 |
Total Medical Submitted Charge Amount |
2357793 |
Total Medical Medicare Allowed Amount |
1370187.89 |
Total Medical Medicare Payment Amount |
1025481.17 |
Total Medical Medicare Standardized Payment Amount |
982070.58 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
42 |
Number Of Beneficiaries Age 65 to 74 |
425 |
Number Of Beneficiaries Age 75 to 84 |
529 |
Number Of Beneficiaries Age Greater 84 |
467 |
Number Of Female Beneficiaries |
841 |
Number Of Male Beneficiaries |
622 |
Number Of Non Hispanic White Beneficiaries |
1380 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
27 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1399 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
64 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4276 |