National Provider Identifier [NPI]: |
1144237660 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
MARC |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1710 SE 16TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
OCALA |
Zip Code Of The Provider |
344714656 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Orthopedic Surgery |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
72 |
Number Of Services |
8050 |
Number Of Medicare Beneficiaries |
753 |
Total Submitted Charge Amount |
2133065.26 |
Total Medicare Allowed Amount |
543339.53 |
Total Medicare Payment Amount |
410752.28 |
Total Medicare Standardized Payment Amount |
407355.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
3853 |
Number Of Medicare Beneficiaries With Drug Services |
437 |
Total Drug Submitted ChargeAmount |
163256 |
Total Drug Medicare AllowedAmount |
72179.04 |
Total Drug Medicare PaymentAmount |
56290.8 |
Total Drug Medicare Standardized Payment Amount |
56290.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
69 |
Number Of Medical Services |
4197 |
Number Of Medicare Beneficiaries With Medical Services |
753 |
Total Medical Submitted Charge Amount |
1969809.26 |
Total Medical Medicare Allowed Amount |
471160.49 |
Total Medical Medicare Payment Amount |
354461.48 |
Total Medical Medicare Standardized Payment Amount |
351064.27 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
59 |
Number Of Beneficiaries Age 65 to 74 |
401 |
Number Of Beneficiaries Age 75 to 84 |
243 |
Number Of Beneficiaries Age Greater 84 |
50 |
Number Of Female Beneficiaries |
448 |
Number Of Male Beneficiaries |
305 |
Number Of Non Hispanic White Beneficiaries |
704 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
23 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
706 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
47 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
44 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
74 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.0619 |