National Provider Identifier [NPI]: |
1053384685 |
Last Name Of The Provider |
ROSENBLATT |
First Name Of The Provider |
MELVIN |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
501 KINGS HWY E |
Street Address 2 Of The Provider |
SUITE 109 |
City Of The Provider |
FAIRFIELD |
Zip Code Of The Provider |
068254867 |
State Code Of The Provider |
CT |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Interventional Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
111 |
Number Of Services |
34020 |
Number Of Medicare Beneficiaries |
559 |
Total Submitted Charge Amount |
4968266 |
Total Medicare Allowed Amount |
1702775.88 |
Total Medicare Payment Amount |
1323574.69 |
Total Medicare Standardized Payment Amount |
1192440.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
31569 |
Number Of Medicare Beneficiaries With Drug Services |
324 |
Total Drug Submitted ChargeAmount |
55824 |
Total Drug Medicare AllowedAmount |
21185.39 |
Total Drug Medicare PaymentAmount |
16608.96 |
Total Drug Medicare Standardized Payment Amount |
16608.96 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
2451 |
Number Of Medicare Beneficiaries With Medical Services |
559 |
Total Medical Submitted Charge Amount |
4912442 |
Total Medical Medicare Allowed Amount |
1681590.49 |
Total Medical Medicare Payment Amount |
1306965.73 |
Total Medical Medicare Standardized Payment Amount |
1175831.28 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
183 |
Number Of Beneficiaries Age 65 to 74 |
189 |
Number Of Beneficiaries Age 75 to 84 |
134 |
Number Of Beneficiaries Age Greater 84 |
53 |
Number Of Female Beneficiaries |
292 |
Number Of Male Beneficiaries |
267 |
Number Of Non Hispanic White Beneficiaries |
279 |
Number Of Black or African American Beneficiaries |
189 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
68 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
280 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
279 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
52 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
54 |
Percent Of With Hyperlipidemia |
58 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
52 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
6.3763 |