| National Provider Identifier [NPI]: | 1528043049 |
| Last Name Of The Provider | GORBATY |
| First Name Of The Provider | ELLIOTT |
| 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 | 1411 MADISON PARK DR |
| Street Address 2 Of The Provider | SUITE 2B |
| City Of The Provider | GLEN BURNIE |
| Zip Code Of The Provider | 210616188 |
| State Code Of The Provider | MD |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Internal Medicine |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 27 |
| Number Of Services | 9217 |
| Number Of Medicare Beneficiaries | 1254 |
| Total Submitted Charge Amount | 1015990 |
| Total Medicare Allowed Amount | 744370.79 |
| Total Medicare Payment Amount | 571642.9 |
| Total Medicare Standardized Payment Amount | 531755.63 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 613 |
| Number Of Medicare Beneficiaries With Drug Services | 586 |
| Total Drug Submitted ChargeAmount | 20350 |
| Total Drug Medicare AllowedAmount | 11175.6 |
| Total Drug Medicare PaymentAmount | 10950.84 |
| Total Drug Medicare Standardized Payment Amount | 10950.84 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 25 |
| Number Of Medical Services | 8604 |
| Number Of Medicare Beneficiaries With Medical Services | 1254 |
| Total Medical Submitted Charge Amount | 995640 |
| Total Medical Medicare Allowed Amount | 733195.19 |
| Total Medical Medicare Payment Amount | 560692.06 |
| Total Medical Medicare Standardized Payment Amount | 520804.79 |
| Average Age Of Beneficiaries | 80 |
| Number Of Beneficiaries Age Less65 | 89 |
| Number Of Beneficiaries Age 65 to 74 | 310 |
| Number Of Beneficiaries Age 75 to 84 | 389 |
| Number Of Beneficiaries Age Greater 84 | 466 |
| Number Of Female Beneficiaries | 849 |
| Number Of Male Beneficiaries | 405 |
| Number Of Non Hispanic White Beneficiaries | 1129 |
| Number Of Black or African American Beneficiaries | 96 |
| 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 | 1072 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 182 |
| Percent Of With Atrial Fibrillation | 20 |
| Percent Of With Alzheimers Disease or Dementia | 45 |
| Percent Of With Asthma | 8 |
| Percent Of With Cancer | 11 |
| Percent Of With Heart Failure | 42 |
| Percent Of With Chronic Kidney Disease | 29 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 25 |
| Percent Of With Depression | 26 |
| Percent Of With Diabetes | 34 |
| Percent Of With Hyperlipidemia | 45 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 41 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 45 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 9 |
| Percent Of With Stroke | 32 |
| Average HCC Risk Score Of Beneficiaries | 1.9871 |