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Gustavo Gomez

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NPI Number Detailed Information

Provider Information:

Name: Gustavo Gomez
Gender: M
Provider License Number If Given: 35.128395

NPI Information:

NPI: 1699031088
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/10/2012

Last Update Date: 11/29/2016

Reputation Report:

Provider Business Mailing Address:

Address: 1957 COOPER FOSTER PARK RD
Amherst, OH 44001
Phone Number: 4409893801
Fax Number:

Provider Business Practice Location Address:

Address: 105 OPPORTUNITY WAY
Lagrange, OH 44050
Phone Number: 4402224160
Fax Number: 4403554213

Provider Taxonomy:

Primary: 207Q00000X
Secondary (if any):
State: OH

Top Doctors in OH

 

About Gustavo Gomez

Gustavo Gomez ( GUSTAVO GOMEZ ) is Family Family Medicine Physician in Lagrange, OH. The NPI Number for Gustavo Gomez is 1699031088.
The current location address for Gustavo Gomez is 105 OPPORTUNITY WAY Lagrange, OH 44050 and the contact number is 4409893801 and fax number is . The mailing address for Gustavo Gomez is 1957 COOPER FOSTER PARK RD Amherst, OH 44001- 4402224160 (mailing address contact number - 4409893801).
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Provider Business Location on Map

FAQs:

What is the NPI Number for Gustavo Gomez ?


Answer: The NPI Number for Gustavo Gomez is 1699031088

Where is Gustavo Gomez located?


Answer: Gustavo Gomez is located at 105 OPPORTUNITY WAY Lagrange, OH 44050.

What is the specialty for Gustavo Gomez ?


Answer: The Specialty of Gustavo Gomez is Family Family Medicine Physician.

Are there any online reviews for Gustavo Gomez ?


Answer: Yes! Check It Now.

Are there any other health care providers in Lagrange, OH?


Answer: Yes, there are given below...

Medicare Physician & Other Practitioners

Information on services and procedures provided to Original Medicare (fee-for-service) Part B (Medical Insurance) beneficiaries by Gustavo Gomez

Number of HCPCS 10
Number of Medicare Beneficiaries 109
Number of Services 185
Total Submitted Charge Amount 11058
Total Medicare Allowed Amount 5779.1
Total Medicare Payment Amount 4905.15
Total Medicare Standardized Payment Amount 4890.37
Drug Suppress Indicator
Number of HCPCS Associated With Drug Services 0
Number of Medicare Beneficiaries With Drug Services 0
Number of Drug Services 0
Total Drug Submitted Charge Amount 0
Total Drug Medicare Allowed Amount 0
Total Drug Medicare Payment Amount 0
Total Drug Medicare Standardized Payment Amount 0
Medical Suppress Indicator
Number of HCPCS Associated With Medical Services 10
Number of Medicare Beneficiaries With Medical 109
Number of Medical Services 185
Total Medical Submitted Charge Amount 11058
Total Medical Medicare Allowed Amount 5779.1
Total Medical Medicare Payment Amount 4905.15
Total Medical Medicare Standardized Payment Amount 4890.37
Average Age of Beneficiaries 73
Number of Beneficiaries Age Less 65 15
Number of Beneficiaries Age 65 to 74 48
Number of Beneficiaries Age 75 to 84 35
Number of Beneficiaries Age Greater 84 11
Number of Female Beneficiaries 60
Number of Male Beneficiaries 49
Number of Non-Hispanic White Beneficiaries
Number of Black or African American Beneficiaries
Number of Asian Pacific Islander Beneficiaries
Number of Hispanic Beneficiaries
Number of American Indian/Alaska Native Beneficiaries
Number of Beneficiaries With Race Not Elsewhere Classified
Number of Beneficiaries With Medicare & Medicaid Entitlement 25
Number of Beneficiaries With Medicare Only Entitlement 84
Percent (%) of Beneficiaries Identified With Atrial Fibrillation 0.17
Percent (%) of Beneficiaries Identified With Alzheimer's Disease or Dementia 0.18
Percent (%) of Beneficiaries Identified With Asthma
Percent (%) of Beneficiaries Identified With Cancer 0.1
Percent (%) of Beneficiaries Identified With Heart Failure 0.27
Percent (%) of Beneficiaries Identified With Chronic Kidney Disease 0.42
Percent (%) of Beneficiaries Identified With Chronic Obstructive Pulmonary Disease 0.2
Percent (%) of Beneficiaries Identified With Depression 0.33
Percent (%) of Beneficiaries Identified With Diabetes 0.67
Percent (%) of Beneficiaries Identified With Hyperlipidemia 0.48
Percent (%) of Beneficiaries Identified With Hypertension 0.68
Percent (%) of Beneficiaries Identified With Ischemic Heart Disease 0.43
Percent (%) of Beneficiaries Identified With Osteoporosis
Percent (%) of Beneficiaries Identified With Rheumatoid Arthritis / Osteoarthritis 0.37
Percent (%) of Beneficiaries Identified With Schizophrenia / Other Psychotic Disorders
Percent (%) of Beneficiaries Identified With Stroke
Average HCC Risk Score of Beneficiaries 1.553

Medicare Part D Prescribers

Information on prescription drugs provided to Medicare beneficiaries enrolled in Part D (Prescription Drug Coverage), by physicians and other health care providers, aggregated by provider.

Provider Specialty Type Family Practice
Source of Provider Specialty
Number of Medicare Part D Claims, Including Refills 10148
Number of Standardized 30-Day Fills 16879.1
Aggregate Cost Paid for All Claims 839841.57
Number of Day's Supply for All Claims 488736
Number of Medicare Beneficiaries 664
Number of Claims, Including Refills, for Beneficiaries Age 65+ 6992
Including Refills, for Beneficiaries Age 65+ 12522.366667
Beneficiaries Age 65+ 525101.83
Number of Day's Supply for All Claims for Beneficaries Age 65+ 363558
Number of Medicare Beneficiaries Age 65+ 514
Reason for Suppression of Brnd_Tot_Clms and Brnd_Tot_Drug_Cst
Total Claims of Brand-Name Drugs 1342
Reason for Suppression of Gnrc_Tot_Clms and Gnrc_Tot_Drug_Cst
Total Claims of Generic Drugs, Including Refills 8692
Aggregate Cost Paid for Generic Drugs 175259.25
Reason for Suppression of Othr_Tot_Clms and Othr_Tot_Drug_Cst
Total Claims of Other Drugs, Including Refills 114
Aggregate Cost Paid for Other Drugs 6763.86
Reason for Suppression of MAPD_Tot_Clmsand MAPD_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by MAPD Plans 5971
Aggregate Cost Paid for Claims Filled by Beneficiaries in MAPD Plans 512553.01
Reason for Suppression of PDP_Tot_Clms and PDP_Tot_Drug_Cst
Number of Claims for Beneficiaries Covered by Standalone PDP Plans 4177
Aggregate Cost Paid for Claims Filled by 327288.56
Reason for Suppression of LIS_Tot_Clms and LIS_Drug_Cst
Number of Claims for Beneficiaries Covered by Low-Income Subsidy 4566
Aggregate Cost Paid for Claims Covered by Low-Income Subsidy 466119.25
Reason for Suppression of NonLIS_Tot_Clms and NonLIS_Drug_Cst
Number of Claims for Beneficiaries Not Covered by Low-Income Subsidy 5582
by Low-Income Subsidy 373722.32
Total Claims of Opioid Drugs, Including 81
Aggregate Cost Paid for Opioid Drugs 942.34
Opioid Claims 31
Opioid_Tot_Clms divided by the Tot_Clms 0.7981868348
Total Claims of Long-Acting Opioid Drugs 0
Aggregate Cost Paid for Long-Acting Opioid 0
Number of Day's Supply of All Long-Acting 0
Long-Acting Opioid Claims 0
Opioid_LA_Tot_Clms divided by the 0
Total Claims of Antibiotic Drugs, Including 167
Aggregate Cost Paid for Antibiotic Drugs 2866.5
Antibiotic Claims 99
Reason for Suppression of Antpsyct_GE65_Tot_Clms and Antpsyct_GE65_Tot_Drug_Cst
Including Refills, for Beneficiaries Age 65+ 62
Aggregate Cost Paid for AntipsychoticDrugs for Beneficiaries Age 65+ 3129.29
Reason for Suppression of Antpsyct_GE65_Tot_Benes
Number of Medicare Beneficiaries Age 65+Filling Antipsychotic Claims
Average Age of Beneficiaries 70.105421687
Number of Beneficiaries Age Less Than 65 150
Number of Beneficiaries Age 65 to 74 296
Number of Beneficiaries Age 75 to 84 166
Number of Female Beneficiaries 368
Number of Male Beneficiaries 296
Number of Non-Hispanic White 624
Number of Black or African American
Number of Asian Pacific Islander
Number of Hispanic Beneficiaries 14
Number of American Indian/Alaskan NativeBeneficiaries 0
Number of Beneficiaries with Race Not 20
Only Entitlement 496
Average Hierarchical Condition Category 1.1918240889

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