National Provider Identifier [NPI]: |
1245299718 |
Last Name Of The Provider |
GEHL |
First Name Of The Provider |
LEONARD |
Middle Initial Of The Provider |
G |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
363 VANADIUM RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152431497 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
80 |
Number Of Services |
1839 |
Number Of Medicare Beneficiaries |
841 |
Total Submitted Charge Amount |
220297.56 |
Total Medicare Allowed Amount |
119703.92 |
Total Medicare Payment Amount |
89080.63 |
Total Medicare Standardized Payment Amount |
94184.67 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
80 |
Number Of Medicare Beneficiaries With Drug Services |
20 |
Total Drug Submitted ChargeAmount |
4300 |
Total Drug Medicare AllowedAmount |
4237.55 |
Total Drug Medicare PaymentAmount |
3176.66 |
Total Drug Medicare Standardized Payment Amount |
3176.66 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
79 |
Number Of Medical Services |
1759 |
Number Of Medicare Beneficiaries With Medical Services |
841 |
Total Medical Submitted Charge Amount |
215997.56 |
Total Medical Medicare Allowed Amount |
115466.37 |
Total Medical Medicare Payment Amount |
85903.97 |
Total Medical Medicare Standardized Payment Amount |
91008.01 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
90 |
Number Of Beneficiaries Age 65 to 74 |
218 |
Number Of Beneficiaries Age 75 to 84 |
227 |
Number Of Beneficiaries Age Greater 84 |
306 |
Number Of Female Beneficiaries |
488 |
Number Of Male Beneficiaries |
353 |
Number Of Non Hispanic White Beneficiaries |
810 |
Number Of Black or African American Beneficiaries |
20 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
713 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
31 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
55 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
15 |
Average HCC Risk Score Of Beneficiaries |
1.8186 |