National Provider Identifier [NPI]: |
1730192758 |
Last Name Of The Provider |
ROSENBLATT |
First Name Of The Provider |
MELANIE |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1 W SAMPLE RD |
Street Address 2 Of The Provider |
SUITE 104 |
City Of The Provider |
POMPANO BEACH |
Zip Code Of The Provider |
330643547 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Pain Management |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
48 |
Number Of Services |
4454 |
Number Of Medicare Beneficiaries |
534 |
Total Submitted Charge Amount |
957023.35 |
Total Medicare Allowed Amount |
433850.34 |
Total Medicare Payment Amount |
334705.74 |
Total Medicare Standardized Payment Amount |
321235.09 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
604 |
Number Of Medicare Beneficiaries With Drug Services |
126 |
Total Drug Submitted ChargeAmount |
3839.68 |
Total Drug Medicare AllowedAmount |
2566.58 |
Total Drug Medicare PaymentAmount |
1938.48 |
Total Drug Medicare Standardized Payment Amount |
1938.48 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
3850 |
Number Of Medicare Beneficiaries With Medical Services |
534 |
Total Medical Submitted Charge Amount |
953183.67 |
Total Medical Medicare Allowed Amount |
431283.76 |
Total Medical Medicare Payment Amount |
332767.26 |
Total Medical Medicare Standardized Payment Amount |
319296.61 |
Average Age Of Beneficiaries |
67 |
Number Of Beneficiaries Age Less65 |
196 |
Number Of Beneficiaries Age 65 to 74 |
165 |
Number Of Beneficiaries Age 75 to 84 |
116 |
Number Of Beneficiaries Age Greater 84 |
57 |
Number Of Female Beneficiaries |
300 |
Number Of Male Beneficiaries |
234 |
Number Of Non Hispanic White Beneficiaries |
441 |
Number Of Black or African American Beneficiaries |
47 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
30 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
322 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
212 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
27 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
47 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
64 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
2.1861 |