National Provider Identifier [NPI]: |
1033103411 |
Last Name Of The Provider |
GORALSKI |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
311 N 4TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
OAKLAND |
Zip Code Of The Provider |
215501371 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
89 |
Number Of Services |
6009 |
Number Of Medicare Beneficiaries |
1647 |
Total Submitted Charge Amount |
557216.43 |
Total Medicare Allowed Amount |
406146.54 |
Total Medicare Payment Amount |
301230.28 |
Total Medicare Standardized Payment Amount |
282096.39 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
339 |
Number Of Medicare Beneficiaries With Drug Services |
223 |
Total Drug Submitted ChargeAmount |
12198 |
Total Drug Medicare AllowedAmount |
11419.49 |
Total Drug Medicare PaymentAmount |
11145.61 |
Total Drug Medicare Standardized Payment Amount |
11145.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
81 |
Number Of Medical Services |
5670 |
Number Of Medicare Beneficiaries With Medical Services |
1646 |
Total Medical Submitted Charge Amount |
545018.43 |
Total Medical Medicare Allowed Amount |
394727.05 |
Total Medical Medicare Payment Amount |
290084.67 |
Total Medical Medicare Standardized Payment Amount |
270950.78 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
259 |
Number Of Beneficiaries Age 65 to 74 |
633 |
Number Of Beneficiaries Age 75 to 84 |
497 |
Number Of Beneficiaries Age Greater 84 |
258 |
Number Of Female Beneficiaries |
893 |
Number Of Male Beneficiaries |
754 |
Number Of Non Hispanic White Beneficiaries |
1623 |
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 |
1242 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
405 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
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 |
1.1993 |