National Provider Identifier [NPI]: |
1407851587 |
Last Name Of The Provider |
ROCK |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
600 RIDGELY AVE |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
ANNAPOLIS |
Zip Code Of The Provider |
214011045 |
State Code Of The Provider |
MD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
6038 |
Number Of Medicare Beneficiaries |
1160 |
Total Submitted Charge Amount |
677742 |
Total Medicare Allowed Amount |
309289.76 |
Total Medicare Payment Amount |
230803.33 |
Total Medicare Standardized Payment Amount |
222125.87 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
1455 |
Number Of Medicare Beneficiaries With Drug Services |
52 |
Total Drug Submitted ChargeAmount |
130685 |
Total Drug Medicare AllowedAmount |
52571.39 |
Total Drug Medicare PaymentAmount |
41136.78 |
Total Drug Medicare Standardized Payment Amount |
41136.78 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
78 |
Number Of Medical Services |
4583 |
Number Of Medicare Beneficiaries With Medical Services |
1160 |
Total Medical Submitted Charge Amount |
547057 |
Total Medical Medicare Allowed Amount |
256718.37 |
Total Medical Medicare Payment Amount |
189666.55 |
Total Medical Medicare Standardized Payment Amount |
180989.09 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
80 |
Number Of Beneficiaries Age 65 to 74 |
530 |
Number Of Beneficiaries Age 75 to 84 |
400 |
Number Of Beneficiaries Age Greater 84 |
150 |
Number Of Female Beneficiaries |
361 |
Number Of Male Beneficiaries |
799 |
Number Of Non Hispanic White Beneficiaries |
1040 |
Number Of Black or African American Beneficiaries |
87 |
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 |
12 |
Number Of Beneficiaries With Medicare Only Entitlement |
1086 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
74 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
24 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
12 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
37 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.1769 |