Medicare Facts for Dr. Michael E. Gates, MD


National Provider Identifier [NPI]: 1265408348
Last Name Of The Provider GATES
First Name Of The Provider MICHAEL
Middle Initial Of The Provider E
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1101 5TH AVE
Street Address 2 Of The Provider
City Of The Provider CORAOPOLIS
Zip Code Of The Provider 151081577
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Family Practice
Medicare Participation Indicator Y
Number Of HCPCS 75
Number Of Services 636
Number Of Medicare Beneficiaries 154
Total Submitted Charge Amount 61884
Total Medicare Allowed Amount 48695.76
Total Medicare Payment Amount 35840.28
Total Medicare Standardized Payment Amount 36945.17
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 5
Number Of Drug Services 18
Number Of Medicare Beneficiaries With Drug Services 12
Total Drug Submitted ChargeAmount 516
Total Drug Medicare AllowedAmount 393.15
Total Drug Medicare PaymentAmount 376.96
Total Drug Medicare Standardized Payment Amount 376.96
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 70
Number Of Medical Services 618
Number Of Medicare Beneficiaries With Medical Services 154
Total Medical Submitted Charge Amount 61368
Total Medical Medicare Allowed Amount 48302.61
Total Medical Medicare Payment Amount 35463.32
Total Medical Medicare Standardized Payment Amount 36568.21
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 26
Number Of Beneficiaries Age 65 to 74 51
Number Of Beneficiaries Age 75 to 84 29
Number Of Beneficiaries Age Greater 84 48
Number Of Female Beneficiaries 92
Number Of Male Beneficiaries 62
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 124
Number Of Beneficiaries With Medicare Medicaid Entitlement 30
Percent Of With Atrial Fibrillation 17
Percent Of With Alzheimers Disease or Dementia 29
Percent Of With Asthma 12
Percent Of With Cancer 12
Percent Of With Heart Failure 30
Percent Of With Chronic Kidney Disease 32
Percent Of With Chronic Obstructive Pulmonary Disease 34
Percent Of With Depression 36
Percent Of With Diabetes 29
Percent Of With Hyperlipidemia 53
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 45
Percent Of With Osteoporosis 15
Percent Of With Rheumatoid Arthritis Osteoarthritis 51
Percent Of With Schizophrenia Other PsychoticDisorders 7
Percent Of With Stroke 8
Average HCC Risk Score Of Beneficiaries 1.7454

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