National Provider Identifier [NPI]: |
1013926245 |
Last Name Of The Provider |
ROGUS |
First Name Of The Provider |
BERNARD |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3801 INTERNATIONAL DR #205 |
Street Address 2 Of The Provider |
|
City Of The Provider |
SILVER SPRING |
Zip Code Of The Provider |
20906 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
92 |
Number Of Services |
7562 |
Number Of Medicare Beneficiaries |
1483 |
Total Submitted Charge Amount |
892770 |
Total Medicare Allowed Amount |
489925.4 |
Total Medicare Payment Amount |
366451.87 |
Total Medicare Standardized Payment Amount |
333330.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
186 |
Number Of Medicare Beneficiaries With Drug Services |
28 |
Total Drug Submitted ChargeAmount |
74250 |
Total Drug Medicare AllowedAmount |
37104.84 |
Total Drug Medicare PaymentAmount |
28453.76 |
Total Drug Medicare Standardized Payment Amount |
28453.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
88 |
Number Of Medical Services |
7376 |
Number Of Medicare Beneficiaries With Medical Services |
1483 |
Total Medical Submitted Charge Amount |
818520 |
Total Medical Medicare Allowed Amount |
452820.56 |
Total Medical Medicare Payment Amount |
337998.11 |
Total Medical Medicare Standardized Payment Amount |
304876.28 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
47 |
Number Of Beneficiaries Age 65 to 74 |
414 |
Number Of Beneficiaries Age 75 to 84 |
565 |
Number Of Beneficiaries Age Greater 84 |
457 |
Number Of Female Beneficiaries |
443 |
Number Of Male Beneficiaries |
1040 |
Number Of Non Hispanic White Beneficiaries |
1260 |
Number Of Black or African American Beneficiaries |
111 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
34 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1394 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
89 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.3176 |