| National Provider Identifier [NPI]: | 1609842814 |
| Last Name Of The Provider | GILMORE |
| First Name Of The Provider | RICHARD |
| 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 | 501 DR MICHAEL DEBAKEY DR |
| Street Address 2 Of The Provider | |
| City Of The Provider | LAKE CHARLES |
| Zip Code Of The Provider | 706015724 |
| State Code Of The Provider | LA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 224 |
| Number Of Services | 14232 |
| Number Of Medicare Beneficiaries | 4425 |
| Total Submitted Charge Amount | 3642041 |
| Total Medicare Allowed Amount | 1039394.3 |
| Total Medicare Payment Amount | 779163.16 |
| Total Medicare Standardized Payment Amount | 845908.38 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 4 |
| Number Of Drug Services | 935 |
| Number Of Medicare Beneficiaries With Drug Services | 248 |
| Total Drug Submitted ChargeAmount | 152498 |
| Total Drug Medicare AllowedAmount | 48166.38 |
| Total Drug Medicare PaymentAmount | 36659.52 |
| Total Drug Medicare Standardized Payment Amount | 36659.52 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 220 |
| Number Of Medical Services | 13297 |
| Number Of Medicare Beneficiaries With Medical Services | 4425 |
| Total Medical Submitted Charge Amount | 3489543 |
| Total Medical Medicare Allowed Amount | 991227.92 |
| Total Medical Medicare Payment Amount | 742503.64 |
| Total Medical Medicare Standardized Payment Amount | 809248.86 |
| Average Age Of Beneficiaries | 73 |
| Number Of Beneficiaries Age Less65 | 628 |
| Number Of Beneficiaries Age 65 to 74 | 1804 |
| Number Of Beneficiaries Age 75 to 84 | 1451 |
| Number Of Beneficiaries Age Greater 84 | 542 |
| Number Of Female Beneficiaries | 2377 |
| Number Of Male Beneficiaries | 2048 |
| Number Of Non Hispanic White Beneficiaries | 3589 |
| Number Of Black or African American Beneficiaries | 738 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 57 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 20 |
| Number Of Beneficiaries With Medicare Only Entitlement | 3564 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 861 |
| Percent Of With Atrial Fibrillation | 21 |
| Percent Of With Alzheimers Disease or Dementia | 13 |
| Percent Of With Asthma | 16 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 38 |
| Percent Of With Chronic Kidney Disease | 28 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 30 |
| Percent Of With Depression | 25 |
| Percent Of With Diabetes | 38 |
| Percent Of With Hyperlipidemia | 65 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 58 |
| Percent Of With Osteoporosis | 8 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 5 |
| Percent Of With Stroke | 9 |
| Average HCC Risk Score Of Beneficiaries | 1.5793 |