| National Provider Identifier [NPI]: | 1912968496 |
| Last Name Of The Provider | GALLEMORE |
| First Name Of The Provider | RON |
| Middle Initial Of The Provider | P |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 4201 TORRANCE BLVD |
| Street Address 2 Of The Provider | 220 |
| City Of The Provider | TORRANCE |
| Zip Code Of The Provider | 905034504 |
| State Code Of The Provider | CA |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Ophthalmology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 76 |
| Number Of Services | 56323 |
| Number Of Medicare Beneficiaries | 2542 |
| Total Submitted Charge Amount | 12748686.21 |
| Total Medicare Allowed Amount | 6719934.41 |
| Total Medicare Payment Amount | 5207902.46 |
| Total Medicare Standardized Payment Amount | 4907514.8 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 11 |
| Number Of Drug Services | 18529 |
| Number Of Medicare Beneficiaries With Drug Services | 892 |
| Total Drug Submitted ChargeAmount | 4311725.51 |
| Total Drug Medicare AllowedAmount | 2910949.58 |
| Total Drug Medicare PaymentAmount | 2278867.04 |
| Total Drug Medicare Standardized Payment Amount | 2278867.04 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 65 |
| Number Of Medical Services | 37794 |
| Number Of Medicare Beneficiaries With Medical Services | 2541 |
| Total Medical Submitted Charge Amount | 8436960.7 |
| Total Medical Medicare Allowed Amount | 3808984.83 |
| Total Medical Medicare Payment Amount | 2929035.42 |
| Total Medical Medicare Standardized Payment Amount | 2628647.76 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 264 |
| Number Of Beneficiaries Age 65 to 74 | 1073 |
| Number Of Beneficiaries Age 75 to 84 | 787 |
| Number Of Beneficiaries Age Greater 84 | 418 |
| Number Of Female Beneficiaries | 1417 |
| Number Of Male Beneficiaries | 1125 |
| Number Of Non Hispanic White Beneficiaries | 1458 |
| Number Of Black or African American Beneficiaries | 216 |
| Number Of AsianPacific Islander Beneficiaries | 238 |
| Number Of Hispanic Beneficiaries | 552 |
| Number Of American Indian Alaska Native Beneficiaries | 0 |
| Number Of Beneficiaries With Race Not Else where Classified | 78 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1694 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 848 |
| Percent Of With Atrial Fibrillation | 9 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 7 |
| Percent Of With Cancer | 10 |
| Percent Of With Heart Failure | 19 |
| Percent Of With Chronic Kidney Disease | 27 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 10 |
| Percent Of With Depression | 15 |
| Percent Of With Diabetes | 47 |
| Percent Of With Hyperlipidemia | 59 |
| Percent Of With Hypertension | 72 |
| Percent Of With Ischemic Heart Disease | 37 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 38 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 4 |
| Average HCC Risk Score Of Beneficiaries | 1.5904 |