Medicare Facts for Dr. Oscar R. Rosales, MD


National Provider Identifier [NPI]: 1194746172
Last Name Of The Provider ROSALES
First Name Of The Provider OSCAR
Middle Initial Of The Provider R
Credentials Of The Provider MD
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 6400 FANNIN
Street Address 2 Of The Provider 3000
City Of The Provider HOUSTON
Zip Code Of The Provider 770301527
State Code Of The Provider TX
Country Code Of The Provider US
Provider Type Of The Provider Cardiology
Medicare Participation Indicator Y
Number Of HCPCS 78
Number Of Services 4842
Number Of Medicare Beneficiaries 718
Total Submitted Charge Amount 2255261.75
Total Medicare Allowed Amount 600935.17
Total Medicare Payment Amount 451794.76
Total Medicare Standardized Payment Amount 453940.71
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 2
Number Of Drug Services 709
Number Of Medicare Beneficiaries With Drug Services 173
Total Drug Submitted ChargeAmount 84098
Total Drug Medicare AllowedAmount 37505.33
Total Drug Medicare PaymentAmount 28298.68
Total Drug Medicare Standardized Payment Amount 28298.68
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 76
Number Of Medical Services 4133
Number Of Medicare Beneficiaries With Medical Services 717
Total Medical Submitted Charge Amount 2171163.75
Total Medical Medicare Allowed Amount 563429.84
Total Medical Medicare Payment Amount 423496.08
Total Medical Medicare Standardized Payment Amount 425642.03
Average Age Of Beneficiaries 74
Number Of Beneficiaries Age Less65 68
Number Of Beneficiaries Age 65 to 74 309
Number Of Beneficiaries Age 75 to 84 230
Number Of Beneficiaries Age Greater 84 111
Number Of Female Beneficiaries 345
Number Of Male Beneficiaries 373
Number Of Non Hispanic White Beneficiaries 502
Number Of Black or African American Beneficiaries 96
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries 103
Number Of American Indian Alaska Native Beneficiaries
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 630
Number Of Beneficiaries With Medicare Medicaid Entitlement 88
Percent Of With Atrial Fibrillation 27
Percent Of With Alzheimers Disease or Dementia 11
Percent Of With Asthma 8
Percent Of With Cancer 11
Percent Of With Heart Failure 40
Percent Of With Chronic Kidney Disease 38
Percent Of With Chronic Obstructive Pulmonary Disease 14
Percent Of With Depression 17
Percent Of With Diabetes 40
Percent Of With Hyperlipidemia 64
Percent Of With Hypertension 75
Percent Of With Ischemic Heart Disease 65
Percent Of With Osteoporosis 8
Percent Of With Rheumatoid Arthritis Osteoarthritis 37
Percent Of With Schizophrenia Other PsychoticDisorders 2
Percent Of With Stroke 12
Average HCC Risk Score Of Beneficiaries 1.8874

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