National Provider Identifier [NPI]: |
1841214889 |
Last Name Of The Provider |
GIERING |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3505 RICHVILLE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
MANCHESTER CENTER |
Zip Code Of The Provider |
052559812 |
State Code Of The Provider |
VT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Physical Medicine and Rehabilitation |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
74 |
Number Of Services |
8062 |
Number Of Medicare Beneficiaries |
529 |
Total Submitted Charge Amount |
1848671.75 |
Total Medicare Allowed Amount |
397705.35 |
Total Medicare Payment Amount |
301450.26 |
Total Medicare Standardized Payment Amount |
255869.06 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
5518 |
Number Of Medicare Beneficiaries With Drug Services |
391 |
Total Drug Submitted ChargeAmount |
103560 |
Total Drug Medicare AllowedAmount |
8457.81 |
Total Drug Medicare PaymentAmount |
6520.43 |
Total Drug Medicare Standardized Payment Amount |
6520.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
2544 |
Number Of Medicare Beneficiaries With Medical Services |
529 |
Total Medical Submitted Charge Amount |
1745111.75 |
Total Medical Medicare Allowed Amount |
389247.54 |
Total Medical Medicare Payment Amount |
294929.83 |
Total Medical Medicare Standardized Payment Amount |
249348.63 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
155 |
Number Of Beneficiaries Age 65 to 74 |
178 |
Number Of Beneficiaries Age 75 to 84 |
143 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
202 |
Number Of Non Hispanic White Beneficiaries |
514 |
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 |
367 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
162 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
7 |
Percent Of With Heart Failure |
9 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
43 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
27 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0841 |