National Provider Identifier [NPI]: |
1063468783 |
Last Name Of The Provider |
ROTTER |
First Name Of The Provider |
ARNOLD |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1500 E DUARTE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
DUARTE |
Zip Code Of The Provider |
91010 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
140 |
Number Of Services |
2357 |
Number Of Medicare Beneficiaries |
1284 |
Total Submitted Charge Amount |
442877.81 |
Total Medicare Allowed Amount |
132503.45 |
Total Medicare Payment Amount |
99969.86 |
Total Medicare Standardized Payment Amount |
96916.45 |
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 |
140 |
Number Of Medical Services |
2357 |
Number Of Medicare Beneficiaries With Medical Services |
1284 |
Total Medical Submitted Charge Amount |
442877.81 |
Total Medical Medicare Allowed Amount |
132503.45 |
Total Medical Medicare Payment Amount |
99969.86 |
Total Medical Medicare Standardized Payment Amount |
96916.45 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
188 |
Number Of Beneficiaries Age 65 to 74 |
674 |
Number Of Beneficiaries Age 75 to 84 |
344 |
Number Of Beneficiaries Age Greater 84 |
78 |
Number Of Female Beneficiaries |
796 |
Number Of Male Beneficiaries |
488 |
Number Of Non Hispanic White Beneficiaries |
734 |
Number Of Black or African American Beneficiaries |
63 |
Number Of AsianPacific Islander Beneficiaries |
182 |
Number Of Hispanic Beneficiaries |
262 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
873 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
411 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
59 |
Percent Of With Heart Failure |
17 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
60 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
46 |
Percent Of With Osteoporosis |
15 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
39 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
2.185 |