National Provider Identifier [NPI]: |
1023297967 |
Last Name Of The Provider |
GALERA |
First Name Of The Provider |
RIGEL |
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 |
1985 GRATIOT BLVD |
Street Address 2 Of The Provider |
SUITE 2A |
City Of The Provider |
MARYSVILLE |
Zip Code Of The Provider |
480402215 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3598 |
Number Of Medicare Beneficiaries |
330 |
Total Submitted Charge Amount |
402254.44 |
Total Medicare Allowed Amount |
339128.82 |
Total Medicare Payment Amount |
254957.97 |
Total Medicare Standardized Payment Amount |
262611.6 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
245 |
Number Of Medicare Beneficiaries With Drug Services |
181 |
Total Drug Submitted ChargeAmount |
6551.3 |
Total Drug Medicare AllowedAmount |
6178.33 |
Total Drug Medicare PaymentAmount |
6028.82 |
Total Drug Medicare Standardized Payment Amount |
6028.82 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
33 |
Number Of Medical Services |
3353 |
Number Of Medicare Beneficiaries With Medical Services |
330 |
Total Medical Submitted Charge Amount |
395703.14 |
Total Medical Medicare Allowed Amount |
332950.49 |
Total Medical Medicare Payment Amount |
248929.15 |
Total Medical Medicare Standardized Payment Amount |
256582.78 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
105 |
Number Of Beneficiaries Age 65 to 74 |
69 |
Number Of Beneficiaries Age 75 to 84 |
70 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
185 |
Number Of Male Beneficiaries |
145 |
Number Of Non Hispanic White Beneficiaries |
307 |
Number Of Black or African American Beneficiaries |
12 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
137 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
193 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
45 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
42 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
36 |
Percent Of With Hyperlipidemia |
36 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
21 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.933 |