National Provider Identifier [NPI]: |
1225398688 |
Last Name Of The Provider |
GEBHARD |
First Name Of The Provider |
JEAN |
Middle Initial Of The Provider |
T |
Credentials Of The Provider |
APN, RN |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2874 N CARSON ST |
Street Address 2 Of The Provider |
SUITE200 |
City Of The Provider |
CARSON CITY |
Zip Code Of The Provider |
897060251 |
State Code Of The Provider |
NV |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nurse Practitioner |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
35 |
Number Of Services |
1985 |
Number Of Medicare Beneficiaries |
1025 |
Total Submitted Charge Amount |
279501 |
Total Medicare Allowed Amount |
100482 |
Total Medicare Payment Amount |
71889.76 |
Total Medicare Standardized Payment Amount |
83101.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
122 |
Number Of Medicare Beneficiaries With Drug Services |
72 |
Total Drug Submitted ChargeAmount |
3195 |
Total Drug Medicare AllowedAmount |
611.56 |
Total Drug Medicare PaymentAmount |
550.47 |
Total Drug Medicare Standardized Payment Amount |
550.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1863 |
Number Of Medicare Beneficiaries With Medical Services |
1025 |
Total Medical Submitted Charge Amount |
276306 |
Total Medical Medicare Allowed Amount |
99870.44 |
Total Medical Medicare Payment Amount |
71339.29 |
Total Medical Medicare Standardized Payment Amount |
82550.85 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
70 |
Number Of Beneficiaries Age 65 to 74 |
422 |
Number Of Beneficiaries Age 75 to 84 |
327 |
Number Of Beneficiaries Age Greater 84 |
206 |
Number Of Female Beneficiaries |
678 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
964 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
31 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
954 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1116 |