National Provider Identifier [NPI]: |
1194792903 |
Last Name Of The Provider |
ROSA |
First Name Of The Provider |
RAMON |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
16704 KINGS HWY |
Street Address 2 Of The Provider |
|
City Of The Provider |
LEWES |
Zip Code Of The Provider |
199584929 |
State Code Of The Provider |
DE |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
95 |
Number Of Services |
11674 |
Number Of Medicare Beneficiaries |
2760 |
Total Submitted Charge Amount |
1715901.15 |
Total Medicare Allowed Amount |
813037.74 |
Total Medicare Payment Amount |
603776.99 |
Total Medicare Standardized Payment Amount |
592373.17 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
482 |
Number Of Medicare Beneficiaries With Drug Services |
116 |
Total Drug Submitted ChargeAmount |
27858 |
Total Drug Medicare AllowedAmount |
24631.96 |
Total Drug Medicare PaymentAmount |
19311.34 |
Total Drug Medicare Standardized Payment Amount |
19311.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
93 |
Number Of Medical Services |
11192 |
Number Of Medicare Beneficiaries With Medical Services |
2760 |
Total Medical Submitted Charge Amount |
1688043.15 |
Total Medical Medicare Allowed Amount |
788405.78 |
Total Medical Medicare Payment Amount |
584465.65 |
Total Medical Medicare Standardized Payment Amount |
573061.83 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
1134 |
Number Of Beneficiaries Age 75 to 84 |
1108 |
Number Of Beneficiaries Age Greater 84 |
366 |
Number Of Female Beneficiaries |
1286 |
Number Of Male Beneficiaries |
1474 |
Number Of Non Hispanic White Beneficiaries |
2594 |
Number Of Black or African American Beneficiaries |
84 |
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 |
39 |
Number Of Beneficiaries With Medicare Only Entitlement |
2535 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
225 |
Percent Of With Atrial Fibrillation |
33 |
Percent Of With Alzheimers Disease or Dementia |
15 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
64 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3389 |