National Provider Identifier [NPI]: |
1609935873 |
Last Name Of The Provider |
ROSENBLOOM |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1112 E WEISGARBER RD |
Street Address 2 Of The Provider |
SUITE 201 |
City Of The Provider |
KNOXVILLE |
Zip Code Of The Provider |
379092647 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
176 |
Number Of Services |
5441 |
Number Of Medicare Beneficiaries |
3425 |
Total Submitted Charge Amount |
487822 |
Total Medicare Allowed Amount |
133189.01 |
Total Medicare Payment Amount |
101062.54 |
Total Medicare Standardized Payment Amount |
109019.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
176 |
Number Of Medical Services |
5441 |
Number Of Medicare Beneficiaries With Medical Services |
3425 |
Total Medical Submitted Charge Amount |
487822 |
Total Medical Medicare Allowed Amount |
133189.01 |
Total Medical Medicare Payment Amount |
101062.54 |
Total Medical Medicare Standardized Payment Amount |
109019.42 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
932 |
Number Of Beneficiaries Age 65 to 74 |
1319 |
Number Of Beneficiaries Age 75 to 84 |
794 |
Number Of Beneficiaries Age Greater 84 |
380 |
Number Of Female Beneficiaries |
1955 |
Number Of Male Beneficiaries |
1470 |
Number Of Non Hispanic White Beneficiaries |
3311 |
Number Of Black or African American Beneficiaries |
64 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
2040 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1385 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
31 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
41 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
38 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
54 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.4697 |