National Provider Identifier [NPI]: |
1437164803 |
Last Name Of The Provider |
ROVNER |
First Name Of The Provider |
SERGIO |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10525 VISTA DEL SOL DR |
Street Address 2 Of The Provider |
SUITE 206 |
City Of The Provider |
EL PASO |
Zip Code Of The Provider |
799257944 |
State Code Of The Provider |
TX |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Endocrinology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
34 |
Number Of Services |
3394 |
Number Of Medicare Beneficiaries |
695 |
Total Submitted Charge Amount |
637580.2 |
Total Medicare Allowed Amount |
252281.46 |
Total Medicare Payment Amount |
180346.95 |
Total Medicare Standardized Payment Amount |
191607.85 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
100 |
Number Of Medicare Beneficiaries With Drug Services |
84 |
Total Drug Submitted ChargeAmount |
3044.2 |
Total Drug Medicare AllowedAmount |
1196.36 |
Total Drug Medicare PaymentAmount |
1171.9 |
Total Drug Medicare Standardized Payment Amount |
1171.9 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
29 |
Number Of Medical Services |
3294 |
Number Of Medicare Beneficiaries With Medical Services |
695 |
Total Medical Submitted Charge Amount |
634536 |
Total Medical Medicare Allowed Amount |
251085.1 |
Total Medical Medicare Payment Amount |
179175.05 |
Total Medical Medicare Standardized Payment Amount |
190435.95 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
148 |
Number Of Beneficiaries Age 65 to 74 |
279 |
Number Of Beneficiaries Age 75 to 84 |
199 |
Number Of Beneficiaries Age Greater 84 |
69 |
Number Of Female Beneficiaries |
467 |
Number Of Male Beneficiaries |
228 |
Number Of Non Hispanic White Beneficiaries |
146 |
Number Of Black or African American Beneficiaries |
19 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
514 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
386 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
309 |
Percent Of With Atrial Fibrillation |
5 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
74 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
36 |
Percent Of With Osteoporosis |
25 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.6693 |