National Provider Identifier [NPI]: |
1194773085 |
Last Name Of The Provider |
ROSENTHAL |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
621 N HALL ST |
Street Address 2 Of The Provider |
SUITE 400 |
City Of The Provider |
DALLAS |
Zip Code Of The Provider |
752261339 |
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 |
42 |
Number Of Services |
3615 |
Number Of Medicare Beneficiaries |
1495 |
Total Submitted Charge Amount |
730473.5 |
Total Medicare Allowed Amount |
319978.3 |
Total Medicare Payment Amount |
236538.63 |
Total Medicare Standardized Payment Amount |
248595.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
63 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
8133 |
Total Drug Medicare AllowedAmount |
3352.87 |
Total Drug Medicare PaymentAmount |
2372.8 |
Total Drug Medicare Standardized Payment Amount |
2372.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
40 |
Number Of Medical Services |
3552 |
Number Of Medicare Beneficiaries With Medical Services |
1495 |
Total Medical Submitted Charge Amount |
722340.5 |
Total Medical Medicare Allowed Amount |
316625.43 |
Total Medical Medicare Payment Amount |
234165.83 |
Total Medical Medicare Standardized Payment Amount |
246222.46 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
199 |
Number Of Beneficiaries Age 65 to 74 |
560 |
Number Of Beneficiaries Age 75 to 84 |
527 |
Number Of Beneficiaries Age Greater 84 |
209 |
Number Of Female Beneficiaries |
738 |
Number Of Male Beneficiaries |
757 |
Number Of Non Hispanic White Beneficiaries |
1145 |
Number Of Black or African American Beneficiaries |
243 |
Number Of AsianPacific Islander Beneficiaries |
12 |
Number Of Hispanic Beneficiaries |
74 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1236 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
259 |
Percent Of With Atrial Fibrillation |
24 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
39 |
Percent Of With Chronic Obstructive Pulmonary Disease |
18 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
2.0386 |