National Provider Identifier [NPI]: |
1518963016 |
Last Name Of The Provider |
ROSENBLOOM |
First Name Of The Provider |
BARRY |
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 |
9090 WILSHIRE BLVD |
Street Address 2 Of The Provider |
STE 200 |
City Of The Provider |
BEVERLY HILLS |
Zip Code Of The Provider |
902111850 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
44 |
Number Of Services |
98527 |
Number Of Medicare Beneficiaries |
821 |
Total Submitted Charge Amount |
2207489.2 |
Total Medicare Allowed Amount |
916500.67 |
Total Medicare Payment Amount |
714517.56 |
Total Medicare Standardized Payment Amount |
693801.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
12 |
Number Of Drug Services |
91182 |
Number Of Medicare Beneficiaries With Drug Services |
154 |
Total Drug Submitted ChargeAmount |
1143107.2 |
Total Drug Medicare AllowedAmount |
534758.71 |
Total Drug Medicare PaymentAmount |
419833.27 |
Total Drug Medicare Standardized Payment Amount |
419833.27 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
32 |
Number Of Medical Services |
7345 |
Number Of Medicare Beneficiaries With Medical Services |
821 |
Total Medical Submitted Charge Amount |
1064382 |
Total Medical Medicare Allowed Amount |
381741.96 |
Total Medical Medicare Payment Amount |
294684.29 |
Total Medical Medicare Standardized Payment Amount |
273968.01 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
24 |
Number Of Beneficiaries Age 65 to 74 |
349 |
Number Of Beneficiaries Age 75 to 84 |
275 |
Number Of Beneficiaries Age Greater 84 |
173 |
Number Of Female Beneficiaries |
549 |
Number Of Male Beneficiaries |
272 |
Number Of Non Hispanic White Beneficiaries |
739 |
Number Of Black or African American Beneficiaries |
23 |
Number Of AsianPacific Islander Beneficiaries |
26 |
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
19 |
Number Of Beneficiaries With Medicare Only Entitlement |
756 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
65 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
50 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
54 |
Percent Of With Hypertension |
55 |
Percent Of With Ischemic Heart Disease |
38 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6587 |