Medicare Facts for James E. Gonzales


National Provider Identifier [NPI]: 1255504627
Last Name Of The Provider GONZALES
First Name Of The Provider JAMES
Middle Initial Of The Provider J
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 515 E GRANT ST
Street Address 2 Of The Provider STE 211
City Of The Provider MACOMB
Zip Code Of The Provider 614553368
State Code Of The Provider IL
Country Code Of The Provider US
Provider Type Of The Provider General Surgery
Medicare Participation Indicator Y
Number Of HCPCS 69
Number Of Services 359
Number Of Medicare Beneficiaries 171
Total Submitted Charge Amount 217809
Total Medicare Allowed Amount 59666.15
Total Medicare Payment Amount 46293.92
Total Medicare Standardized Payment Amount 46908.13
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 0
Number Of Drug Services 0
Number Of Medicare Beneficiaries With Drug Services 0
Total Drug Submitted ChargeAmount 0
Total Drug Medicare AllowedAmount 0
Total Drug Medicare PaymentAmount 0
Total Drug Medicare Standardized Payment Amount 0
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 69
Number Of Medical Services 359
Number Of Medicare Beneficiaries With Medical Services 171
Total Medical Submitted Charge Amount 217809
Total Medical Medicare Allowed Amount 59666.15
Total Medical Medicare Payment Amount 46293.92
Total Medical Medicare Standardized Payment Amount 46908.13
Average Age Of Beneficiaries 72
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 74
Number Of Beneficiaries Age 75 to 84 45
Number Of Beneficiaries Age Greater 84 26
Number Of Female Beneficiaries 78
Number Of Male Beneficiaries 93
Number Of Non Hispanic White Beneficiaries
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 122
Number Of Beneficiaries With Medicare Medicaid Entitlement 49
Percent Of With Atrial Fibrillation 15
Percent Of With Alzheimers Disease or Dementia 13
Percent Of With Asthma
Percent Of With Cancer 20
Percent Of With Heart Failure 27
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 38
Percent Of With Depression 23
Percent Of With Diabetes 37
Percent Of With Hyperlipidemia 48
Percent Of With Hypertension 74
Percent Of With Ischemic Heart Disease 40
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.7325

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