National Provider Identifier [NPI]: |
1528099439 |
Last Name Of The Provider |
ROLFES |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
DPM |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
595 BUCKINGHAM WAY |
Street Address 2 Of The Provider |
STE 330 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941321909 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Podiatry |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
28 |
Number Of Services |
2568 |
Number Of Medicare Beneficiaries |
534 |
Total Submitted Charge Amount |
171411 |
Total Medicare Allowed Amount |
154492.76 |
Total Medicare Payment Amount |
108735.69 |
Total Medicare Standardized Payment Amount |
89047.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
42 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
840 |
Total Drug Medicare AllowedAmount |
240.72 |
Total Drug Medicare PaymentAmount |
179.72 |
Total Drug Medicare Standardized Payment Amount |
179.72 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
2526 |
Number Of Medicare Beneficiaries With Medical Services |
534 |
Total Medical Submitted Charge Amount |
170571 |
Total Medical Medicare Allowed Amount |
154252.04 |
Total Medical Medicare Payment Amount |
108555.97 |
Total Medical Medicare Standardized Payment Amount |
88868.05 |
Average Age Of Beneficiaries |
79 |
Number Of Beneficiaries Age Less65 |
17 |
Number Of Beneficiaries Age 65 to 74 |
181 |
Number Of Beneficiaries Age 75 to 84 |
163 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
207 |
Number Of Non Hispanic White Beneficiaries |
413 |
Number Of Black or African American Beneficiaries |
35 |
Number Of AsianPacific Islander Beneficiaries |
34 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
499 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
35 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
13 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
25 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
11 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2535 |