National Provider Identifier [NPI]: |
1649255217 |
Last Name Of The Provider |
ROSMAN |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5821 W MAPLE RD |
Street Address 2 Of The Provider |
SUITE 100 |
City Of The Provider |
WEST BLOOMFIELD |
Zip Code Of The Provider |
483222275 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
2114 |
Number Of Medicare Beneficiaries |
325 |
Total Submitted Charge Amount |
153846.01 |
Total Medicare Allowed Amount |
114422.79 |
Total Medicare Payment Amount |
81796.93 |
Total Medicare Standardized Payment Amount |
80647.64 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
179 |
Number Of Medicare Beneficiaries With Drug Services |
147 |
Total Drug Submitted ChargeAmount |
10440.01 |
Total Drug Medicare AllowedAmount |
7018.15 |
Total Drug Medicare PaymentAmount |
6646.31 |
Total Drug Medicare Standardized Payment Amount |
6646.31 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
1935 |
Number Of Medicare Beneficiaries With Medical Services |
325 |
Total Medical Submitted Charge Amount |
143406 |
Total Medical Medicare Allowed Amount |
107404.64 |
Total Medical Medicare Payment Amount |
75150.62 |
Total Medical Medicare Standardized Payment Amount |
74001.33 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
155 |
Number Of Beneficiaries Age 75 to 84 |
96 |
Number Of Beneficiaries Age Greater 84 |
61 |
Number Of Female Beneficiaries |
168 |
Number Of Male Beneficiaries |
157 |
Number Of Non Hispanic White Beneficiaries |
284 |
Number Of Black or African American Beneficiaries |
27 |
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 |
|
Number Of Beneficiaries With Medicare Medicaid Entitlement |
|
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
64 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0063 |