Medicare Facts for Reggie M. Gillins


National Provider Identifier [NPI]: 1619311974
Last Name Of The Provider GILLINS
First Name Of The Provider REGGIE
Middle Initial Of The Provider M
Credentials Of The Provider
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 355 N MAIN ST
Street Address 2 Of The Provider
City Of The Provider KANAB
Zip Code Of The Provider 847413260
State Code Of The Provider UT
Country Code Of The Provider US
Provider Type Of The Provider Nurse Practitioner
Medicare Participation Indicator Y
Number Of HCPCS 36
Number Of Services 392
Number Of Medicare Beneficiaries 183
Total Submitted Charge Amount 37347.01
Total Medicare Allowed Amount 17558.27
Total Medicare Payment Amount 13300.74
Total Medicare Standardized Payment Amount 16100.77
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 8
Number Of Drug Services 87
Number Of Medicare Beneficiaries With Drug Services 29
Total Drug Submitted ChargeAmount 2249.01
Total Drug Medicare AllowedAmount 386.9
Total Drug Medicare PaymentAmount 363.31
Total Drug Medicare Standardized Payment Amount 363.31
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 28
Number Of Medical Services 305
Number Of Medicare Beneficiaries With Medical Services 183
Total Medical Submitted Charge Amount 35098
Total Medical Medicare Allowed Amount 17171.37
Total Medical Medicare Payment Amount 12937.43
Total Medical Medicare Standardized Payment Amount 15737.46
Average Age Of Beneficiaries 71
Number Of Beneficiaries Age Less65 27
Number Of Beneficiaries Age 65 to 74 95
Number Of Beneficiaries Age 75 to 84 45
Number Of Beneficiaries Age Greater 84 16
Number Of Female Beneficiaries 99
Number Of Male Beneficiaries 84
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 158
Number Of Beneficiaries With Medicare Medicaid Entitlement 25
Percent Of With Atrial Fibrillation 8
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 9
Percent Of With Cancer
Percent Of With Heart Failure 13
Percent Of With Chronic Kidney Disease 13
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 19
Percent Of With Diabetes 22
Percent Of With Hyperlipidemia 30
Percent Of With Hypertension 46
Percent Of With Ischemic Heart Disease 27
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 36
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 0.9772

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