National Provider Identifier [NPI]: |
1093785313 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
750 WASHINGTON ST |
Street Address 2 Of The Provider |
# 450 |
City Of The Provider |
BOSTON |
Zip Code Of The Provider |
021111526 |
State Code Of The Provider |
MA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5551 |
Number Of Medicare Beneficiaries |
1147 |
Total Submitted Charge Amount |
1854662.32 |
Total Medicare Allowed Amount |
822974.78 |
Total Medicare Payment Amount |
621048.14 |
Total Medicare Standardized Payment Amount |
603615.26 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
776 |
Number Of Medicare Beneficiaries With Drug Services |
196 |
Total Drug Submitted ChargeAmount |
394058.82 |
Total Drug Medicare AllowedAmount |
293593 |
Total Drug Medicare PaymentAmount |
229049.86 |
Total Drug Medicare Standardized Payment Amount |
229049.86 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
4775 |
Number Of Medicare Beneficiaries With Medical Services |
1147 |
Total Medical Submitted Charge Amount |
1460603.5 |
Total Medical Medicare Allowed Amount |
529381.78 |
Total Medical Medicare Payment Amount |
391998.28 |
Total Medical Medicare Standardized Payment Amount |
374565.4 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
135 |
Number Of Beneficiaries Age 65 to 74 |
396 |
Number Of Beneficiaries Age 75 to 84 |
352 |
Number Of Beneficiaries Age Greater 84 |
264 |
Number Of Female Beneficiaries |
672 |
Number Of Male Beneficiaries |
475 |
Number Of Non Hispanic White Beneficiaries |
913 |
Number Of Black or African American Beneficiaries |
46 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
103 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
35 |
Number Of Beneficiaries With Medicare Only Entitlement |
786 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
361 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
10 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
51 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
35 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.5633 |