National Provider Identifier [NPI]: |
1295899953 |
Last Name Of The Provider |
ROLFE |
First Name Of The Provider |
ALAN |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
601 MEDICAL TOWER |
Street Address 2 Of The Provider |
|
City Of The Provider |
NORFOLK |
Zip Code Of The Provider |
235071901 |
State Code Of The Provider |
VA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
85 |
Number Of Services |
4943 |
Number Of Medicare Beneficiaries |
1105 |
Total Submitted Charge Amount |
450762 |
Total Medicare Allowed Amount |
264171 |
Total Medicare Payment Amount |
194408.7 |
Total Medicare Standardized Payment Amount |
197977.01 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
101 |
Number Of Medicare Beneficiaries With Drug Services |
59 |
Total Drug Submitted ChargeAmount |
10372 |
Total Drug Medicare AllowedAmount |
7298.58 |
Total Drug Medicare PaymentAmount |
4088.16 |
Total Drug Medicare Standardized Payment Amount |
4088.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
4842 |
Number Of Medicare Beneficiaries With Medical Services |
1105 |
Total Medical Submitted Charge Amount |
440390 |
Total Medical Medicare Allowed Amount |
256872.42 |
Total Medical Medicare Payment Amount |
190320.54 |
Total Medical Medicare Standardized Payment Amount |
193888.85 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
78 |
Number Of Beneficiaries Age 65 to 74 |
575 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
108 |
Number Of Female Beneficiaries |
514 |
Number Of Male Beneficiaries |
591 |
Number Of Non Hispanic White Beneficiaries |
991 |
Number Of Black or African American Beneficiaries |
69 |
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 |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
1051 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
54 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
11 |
Percent Of With Chronic Kidney Disease |
16 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
15 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
65 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
1 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
0.9616 |