Medicare Facts for Dr. James Gilbert, MD


National Provider Identifier [NPI]: 1033177126
Last Name Of The Provider GILBERT
First Name Of The Provider JAMES
Middle Initial Of The Provider
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1080 GLENSBORO RD
Street Address 2 Of The Provider
City Of The Provider LAWRENCEBURG
Zip Code Of The Provider 403429033
State Code Of The Provider KY
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 130
Number Of Services 6067
Number Of Medicare Beneficiaries 604
Total Submitted Charge Amount 252229.13
Total Medicare Allowed Amount 210078.76
Total Medicare Payment Amount 157636.83
Total Medicare Standardized Payment Amount 169193.52
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 9
Number Of Drug Services 513
Number Of Medicare Beneficiaries With Drug Services 158
Total Drug Submitted ChargeAmount 6493
Total Drug Medicare AllowedAmount 3792.93
Total Drug Medicare PaymentAmount 3516.65
Total Drug Medicare Standardized Payment Amount 3516.65
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 121
Number Of Medical Services 5554
Number Of Medicare Beneficiaries With Medical Services 604
Total Medical Submitted Charge Amount 245736.13
Total Medical Medicare Allowed Amount 206285.83
Total Medical Medicare Payment Amount 154120.18
Total Medical Medicare Standardized Payment Amount 165676.87
Average Age Of Beneficiaries 73
Number Of Beneficiaries Age Less65 108
Number Of Beneficiaries Age 65 to 74 221
Number Of Beneficiaries Age 75 to 84 181
Number Of Beneficiaries Age Greater 84 94
Number Of Female Beneficiaries 326
Number Of Male Beneficiaries 278
Number Of Non Hispanic White Beneficiaries 579
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 503
Number Of Beneficiaries With Medicare Medicaid Entitlement 101
Percent Of With Atrial Fibrillation 12
Percent Of With Alzheimers Disease or Dementia 8
Percent Of With Asthma 4
Percent Of With Cancer 6
Percent Of With Heart Failure 19
Percent Of With Chronic Kidney Disease 18
Percent Of With Chronic Obstructive Pulmonary Disease 15
Percent Of With Depression 22
Percent Of With Diabetes 36
Percent Of With Hyperlipidemia 44
Percent Of With Hypertension 63
Percent Of With Ischemic Heart Disease 34
Percent Of With Osteoporosis 4
Percent Of With Rheumatoid Arthritis Osteoarthritis 30
Percent Of With Schizophrenia Other PsychoticDisorders 3
Percent Of With Stroke 4
Average HCC Risk Score Of Beneficiaries 1.0277

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