National Provider Identifier [NPI]: |
1639194897 |
Last Name Of The Provider |
ROUMANY |
First Name Of The Provider |
AMJAD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3250 GORDONVILLE RD |
Street Address 2 Of The Provider |
SUITE 301 |
City Of The Provider |
CAPE GIRARDEAU |
Zip Code Of The Provider |
637035056 |
State Code Of The Provider |
MO |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
55 |
Number Of Services |
9770.6 |
Number Of Medicare Beneficiaries |
706 |
Total Submitted Charge Amount |
1368504 |
Total Medicare Allowed Amount |
352448.52 |
Total Medicare Payment Amount |
254998.25 |
Total Medicare Standardized Payment Amount |
268494.12 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
6148.6 |
Number Of Medicare Beneficiaries With Drug Services |
340 |
Total Drug Submitted ChargeAmount |
113209 |
Total Drug Medicare AllowedAmount |
33850 |
Total Drug Medicare PaymentAmount |
26468.57 |
Total Drug Medicare Standardized Payment Amount |
26468.57 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
43 |
Number Of Medical Services |
3622 |
Number Of Medicare Beneficiaries With Medical Services |
706 |
Total Medical Submitted Charge Amount |
1255295 |
Total Medical Medicare Allowed Amount |
318598.52 |
Total Medical Medicare Payment Amount |
228529.68 |
Total Medical Medicare Standardized Payment Amount |
242025.55 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
329 |
Number Of Beneficiaries Age 75 to 84 |
159 |
Number Of Beneficiaries Age Greater 84 |
54 |
Number Of Female Beneficiaries |
526 |
Number Of Male Beneficiaries |
180 |
Number Of Non Hispanic White Beneficiaries |
659 |
Number Of Black or African American Beneficiaries |
|
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 |
523 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
183 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
8 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
22 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
47 |
Percent Of With Hypertension |
66 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.2046 |