Medicare Facts for Dr. Sean M. Rooney, MD


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

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