National Provider Identifier [NPI]: |
1760588446 |
Last Name Of The Provider |
ROGNESS |
First Name Of The Provider |
ANDREW |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
415 S 28TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
HATTIESBURG |
Zip Code Of The Provider |
394017246 |
State Code Of The Provider |
MS |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
51 |
Number Of Services |
5049 |
Number Of Medicare Beneficiaries |
815 |
Total Submitted Charge Amount |
496381 |
Total Medicare Allowed Amount |
281652.14 |
Total Medicare Payment Amount |
211624.64 |
Total Medicare Standardized Payment Amount |
225574.32 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
2266 |
Number Of Medicare Beneficiaries With Drug Services |
39 |
Total Drug Submitted ChargeAmount |
68818 |
Total Drug Medicare AllowedAmount |
47918.13 |
Total Drug Medicare PaymentAmount |
33268.4 |
Total Drug Medicare Standardized Payment Amount |
33268.4 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
42 |
Number Of Medical Services |
2783 |
Number Of Medicare Beneficiaries With Medical Services |
815 |
Total Medical Submitted Charge Amount |
427563 |
Total Medical Medicare Allowed Amount |
233734.01 |
Total Medical Medicare Payment Amount |
178356.24 |
Total Medical Medicare Standardized Payment Amount |
192305.92 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
229 |
Number Of Beneficiaries Age 65 to 74 |
297 |
Number Of Beneficiaries Age 75 to 84 |
203 |
Number Of Beneficiaries Age Greater 84 |
86 |
Number Of Female Beneficiaries |
420 |
Number Of Male Beneficiaries |
395 |
Number Of Non Hispanic White Beneficiaries |
589 |
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 |
457 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
358 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
17 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
49 |
Percent Of With Chronic Kidney Disease |
51 |
Percent Of With Chronic Obstructive Pulmonary Disease |
56 |
Percent Of With Depression |
35 |
Percent Of With Diabetes |
48 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
62 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.7036 |