National Provider Identifier [NPI]: |
1952350159 |
Last Name Of The Provider |
ROONEY |
First Name Of The Provider |
SEAN |
Middle Initial Of The Provider |
M |
Credentials Of The Provider |
M.D., PH.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1414 W FAIR AVE |
Street Address 2 Of The Provider |
SUITE 150 |
City Of The Provider |
MARQUETTE |
Zip Code Of The Provider |
498552675 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
32 |
Number Of Services |
4418 |
Number Of Medicare Beneficiaries |
1450 |
Total Submitted Charge Amount |
2423084 |
Total Medicare Allowed Amount |
1161189.84 |
Total Medicare Payment Amount |
876033.48 |
Total Medicare Standardized Payment Amount |
896176.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
886 |
Number Of Medicare Beneficiaries With Drug Services |
58 |
Total Drug Submitted ChargeAmount |
646650 |
Total Drug Medicare AllowedAmount |
564034.26 |
Total Drug Medicare PaymentAmount |
441982.8 |
Total Drug Medicare Standardized Payment Amount |
441982.8 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
30 |
Number Of Medical Services |
3532 |
Number Of Medicare Beneficiaries With Medical Services |
1450 |
Total Medical Submitted Charge Amount |
1776434 |
Total Medical Medicare Allowed Amount |
597155.58 |
Total Medical Medicare Payment Amount |
434050.68 |
Total Medical Medicare Standardized Payment Amount |
454194.07 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
76 |
Number Of Beneficiaries Age 65 to 74 |
589 |
Number Of Beneficiaries Age 75 to 84 |
557 |
Number Of Beneficiaries Age Greater 84 |
228 |
Number Of Female Beneficiaries |
800 |
Number Of Male Beneficiaries |
650 |
Number Of Non Hispanic White Beneficiaries |
1391 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
28 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1318 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
132 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
14 |
Percent Of With Depression |
16 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
49 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.0239 |