National Provider Identifier [NPI]: |
1679758197 |
Last Name Of The Provider |
ROSENBERG |
First Name Of The Provider |
JAY |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M. D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
5352 LINTON BLVD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DELRAY BEACH |
Zip Code Of The Provider |
334846514 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
147 |
Number Of Services |
3110 |
Number Of Medicare Beneficiaries |
2290 |
Total Submitted Charge Amount |
641364 |
Total Medicare Allowed Amount |
103311.1 |
Total Medicare Payment Amount |
79147.15 |
Total Medicare Standardized Payment Amount |
76476.27 |
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 |
147 |
Number Of Medical Services |
3110 |
Number Of Medicare Beneficiaries With Medical Services |
2290 |
Total Medical Submitted Charge Amount |
641364 |
Total Medical Medicare Allowed Amount |
103311.1 |
Total Medical Medicare Payment Amount |
79147.15 |
Total Medical Medicare Standardized Payment Amount |
76476.27 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
227 |
Number Of Beneficiaries Age 65 to 74 |
488 |
Number Of Beneficiaries Age 75 to 84 |
719 |
Number Of Beneficiaries Age Greater 84 |
856 |
Number Of Female Beneficiaries |
1257 |
Number Of Male Beneficiaries |
1033 |
Number Of Non Hispanic White Beneficiaries |
1990 |
Number Of Black or African American Beneficiaries |
180 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
82 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
25 |
Number Of Beneficiaries With Medicare Only Entitlement |
1855 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
435 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
30 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
20 |
Percent Of With Heart Failure |
43 |
Percent Of With Chronic Kidney Disease |
47 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
19 |
Average HCC Risk Score Of Beneficiaries |
2.1536 |