Medicare Facts for Malcolm X. Roberts, BA


National Provider Identifier [NPI]: 1942282413
Last Name Of The Provider ROBERTS
First Name Of The Provider MALCOLM
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 1201 1ST ST S
Street Address 2 Of The Provider
City Of The Provider WINTER HAVEN
Zip Code Of The Provider 338803904
State Code Of The Provider FL
Country Code Of The Provider US
Provider Type Of The Provider Psychiatry
Medicare Participation Indicator Y
Number Of HCPCS 2
Number Of Services 206
Number Of Medicare Beneficiaries 160
Total Submitted Charge Amount 29935
Total Medicare Allowed Amount 11839.72
Total Medicare Payment Amount 4834.97
Total Medicare Standardized Payment Amount 4933.38
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 2
Number Of Medical Services 206
Number Of Medicare Beneficiaries With Medical Services 160
Total Medical Submitted Charge Amount 29935
Total Medical Medicare Allowed Amount 11839.72
Total Medical Medicare Payment Amount 4834.97
Total Medical Medicare Standardized Payment Amount 4933.38
Average Age Of Beneficiaries 51
Number Of Beneficiaries Age Less65 134
Number Of Beneficiaries Age 65 to 74
Number Of Beneficiaries Age 75 to 84
Number Of Beneficiaries Age Greater 84
Number Of Female Beneficiaries 92
Number Of Male Beneficiaries 68
Number Of Non Hispanic White Beneficiaries 68
Number Of Black or African American Beneficiaries 56
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
Number Of Beneficiaries With Medicare Only Entitlement 26
Number Of Beneficiaries With Medicare Medicaid Entitlement 134
Percent Of With Atrial Fibrillation
Percent Of With Alzheimers Disease or Dementia
Percent Of With Asthma 8
Percent Of With Cancer
Percent Of With Heart Failure
Percent Of With Chronic Kidney Disease 14
Percent Of With Chronic Obstructive Pulmonary Disease 10
Percent Of With Depression 54
Percent Of With Diabetes 27
Percent Of With Hyperlipidemia 42
Percent Of With Hypertension 48
Percent Of With Ischemic Heart Disease 16
Percent Of With Osteoporosis
Percent Of With Rheumatoid Arthritis Osteoarthritis 20
Percent Of With Schizophrenia Other PsychoticDisorders 61
Percent Of With Stroke
Average HCC Risk Score Of Beneficiaries 1.154

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