National Provider Identifier [NPI]: |
1407038268 |
Last Name Of The Provider |
ROLLER |
First Name Of The Provider |
REBECCA |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
500 UNIVERSITY DR |
Street Address 2 Of The Provider |
|
City Of The Provider |
HERSHEY |
Zip Code Of The Provider |
170332360 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
11922 |
Number Of Medicare Beneficiaries |
4732 |
Total Submitted Charge Amount |
1457958.95 |
Total Medicare Allowed Amount |
646533.06 |
Total Medicare Payment Amount |
573165.82 |
Total Medicare Standardized Payment Amount |
535741.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
3373 |
Number Of Medicare Beneficiaries With Drug Services |
76 |
Total Drug Submitted ChargeAmount |
2855.16 |
Total Drug Medicare AllowedAmount |
2037.49 |
Total Drug Medicare PaymentAmount |
1543.38 |
Total Drug Medicare Standardized Payment Amount |
1543.38 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
130 |
Number Of Medical Services |
8549 |
Number Of Medicare Beneficiaries With Medical Services |
4732 |
Total Medical Submitted Charge Amount |
1455103.79 |
Total Medical Medicare Allowed Amount |
644495.57 |
Total Medical Medicare Payment Amount |
571622.44 |
Total Medical Medicare Standardized Payment Amount |
534198.54 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
476 |
Number Of Beneficiaries Age 65 to 74 |
2328 |
Number Of Beneficiaries Age 75 to 84 |
1359 |
Number Of Beneficiaries Age Greater 84 |
569 |
Number Of Female Beneficiaries |
4033 |
Number Of Male Beneficiaries |
699 |
Number Of Non Hispanic White Beneficiaries |
3854 |
Number Of Black or African American Beneficiaries |
719 |
Number Of AsianPacific Islander Beneficiaries |
57 |
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
59 |
Number Of Beneficiaries With Medicare Only Entitlement |
4180 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
552 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
22 |
Percent Of With Chronic Obstructive Pulmonary Disease |
16 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
63 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.1815 |