| National Provider Identifier [NPI]: | 1851459390 |
| Last Name Of The Provider | ROSENBERG |
| First Name Of The Provider | MARK |
| Middle Initial Of The Provider | S |
| Credentials Of The Provider | M.D. |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 1389 W MAIN ST |
| Street Address 2 Of The Provider | TOWER 1 SUITE 106 |
| City Of The Provider | WATERBURY |
| Zip Code Of The Provider | 067083104 |
| State Code Of The Provider | CT |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Cardiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 58 |
| Number Of Services | 6950 |
| Number Of Medicare Beneficiaries | 2024 |
| Total Submitted Charge Amount | 1128849.36 |
| Total Medicare Allowed Amount | 496419.57 |
| Total Medicare Payment Amount | 373880.9 |
| Total Medicare Standardized Payment Amount | 350670.82 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 1 |
| Number Of Drug Services | 292 |
| Number Of Medicare Beneficiaries With Drug Services | 73 |
| Total Drug Submitted ChargeAmount | 16060 |
| Total Drug Medicare AllowedAmount | 15454.77 |
| Total Drug Medicare PaymentAmount | 11951.03 |
| Total Drug Medicare Standardized Payment Amount | 11951.03 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 57 |
| Number Of Medical Services | 6658 |
| Number Of Medicare Beneficiaries With Medical Services | 2024 |
| Total Medical Submitted Charge Amount | 1112789.36 |
| Total Medical Medicare Allowed Amount | 480964.8 |
| Total Medical Medicare Payment Amount | 361929.87 |
| Total Medical Medicare Standardized Payment Amount | 338719.79 |
| Average Age Of Beneficiaries | 75 |
| Number Of Beneficiaries Age Less65 | 319 |
| Number Of Beneficiaries Age 65 to 74 | 549 |
| Number Of Beneficiaries Age 75 to 84 | 624 |
| Number Of Beneficiaries Age Greater 84 | 532 |
| Number Of Female Beneficiaries | 1123 |
| Number Of Male Beneficiaries | 901 |
| Number Of Non Hispanic White Beneficiaries | 1631 |
| Number Of Black or African American Beneficiaries | 163 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 186 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 26 |
| Number Of Beneficiaries With Medicare Only Entitlement | 1095 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 929 |
| Percent Of With Atrial Fibrillation | 30 |
| Percent Of With Alzheimers Disease or Dementia | 23 |
| Percent Of With Asthma | 12 |
| Percent Of With Cancer | 13 |
| Percent Of With Heart Failure | 39 |
| Percent Of With Chronic Kidney Disease | 40 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 24 |
| Percent Of With Depression | 33 |
| Percent Of With Diabetes | 42 |
| Percent Of With Hyperlipidemia | 74 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 59 |
| Percent Of With Osteoporosis | 10 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 41 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 11 |
| Average HCC Risk Score Of Beneficiaries | 1.8843 |