National Provider Identifier [NPI]: |
1982704300 |
Last Name Of The Provider |
ROGAN |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2006 MARTIN LUTHER KING JR. DR. |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
ATLANTA |
Zip Code Of The Provider |
303111636 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
8 |
Number Of Services |
2509 |
Number Of Medicare Beneficiaries |
1714 |
Total Submitted Charge Amount |
343251.76 |
Total Medicare Allowed Amount |
280919.24 |
Total Medicare Payment Amount |
204311.66 |
Total Medicare Standardized Payment Amount |
205046.47 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
8 |
Number Of Medical Services |
2509 |
Number Of Medicare Beneficiaries With Medical Services |
1714 |
Total Medical Submitted Charge Amount |
343251.76 |
Total Medical Medicare Allowed Amount |
280919.24 |
Total Medical Medicare Payment Amount |
204311.66 |
Total Medical Medicare Standardized Payment Amount |
205046.47 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
431 |
Number Of Beneficiaries Age 75 to 84 |
483 |
Number Of Beneficiaries Age Greater 84 |
577 |
Number Of Female Beneficiaries |
1084 |
Number Of Male Beneficiaries |
630 |
Number Of Non Hispanic White Beneficiaries |
895 |
Number Of Black or African American Beneficiaries |
730 |
Number Of AsianPacific Islander Beneficiaries |
39 |
Number Of Hispanic Beneficiaries |
39 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
486 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1228 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
68 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
27 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
55 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
17 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
25 |
Average HCC Risk Score Of Beneficiaries |
2.5692 |