Medicare Facts for John M. Gilbert, MA


National Provider Identifier [NPI]: 1588650667
Last Name Of The Provider GILBERT
First Name Of The Provider JOHN
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 100 E VALENCIA MESA DR
Street Address 2 Of The Provider SUITE 105
City Of The Provider FULLERTON
Zip Code Of The Provider 928353813
State Code Of The Provider CA
Country Code Of The Provider US
Provider Type Of The Provider Endocrinology
Medicare Participation Indicator Y
Number Of HCPCS 48
Number Of Services 4861
Number Of Medicare Beneficiaries 727
Total Submitted Charge Amount 384100.64
Total Medicare Allowed Amount 244283.23
Total Medicare Payment Amount 172874.06
Total Medicare Standardized Payment Amount 157323.85
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 2554
Number Of Medicare Beneficiaries With Drug Services 62
Total Drug Submitted ChargeAmount 73660
Total Drug Medicare AllowedAmount 26828.19
Total Drug Medicare PaymentAmount 21073.77
Total Drug Medicare Standardized Payment Amount 21073.77
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 40
Number Of Medical Services 2307
Number Of Medicare Beneficiaries With Medical Services 727
Total Medical Submitted Charge Amount 310440.64
Total Medical Medicare Allowed Amount 217455.04
Total Medical Medicare Payment Amount 151800.29
Total Medical Medicare Standardized Payment Amount 136250.08
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 50
Number Of Beneficiaries Age 65 to 74 338
Number Of Beneficiaries Age 75 to 84 245
Number Of Beneficiaries Age Greater 84 94
Number Of Female Beneficiaries 412
Number Of Male Beneficiaries 315
Number Of Non Hispanic White Beneficiaries 546
Number Of Black or African American Beneficiaries
Number Of AsianPacific Islander Beneficiaries 59
Number Of Hispanic Beneficiaries 86
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified 23
Number Of Beneficiaries With Medicare Only Entitlement 628
Number Of Beneficiaries With Medicare Medicaid Entitlement 99
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 9
Percent Of With Cancer 10
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 39
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 16
Percent Of With Diabetes 61
Percent Of With Hyperlipidemia 75
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 21
Percent Of With Rheumatoid Arthritis Osteoarthritis 40
Percent Of With Schizophrenia Other PsychoticDisorders 4
Percent Of With Stroke 6
Average HCC Risk Score Of Beneficiaries 1.5253

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