National Provider Identifier [NPI]: |
1144215898 |
Last Name Of The Provider |
ROTMAN |
First Name Of The Provider |
DARRIN |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
3109 MEDICAL WAY |
Street Address 2 Of The Provider |
|
City Of The Provider |
SEBRING |
Zip Code Of The Provider |
338705548 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Dermatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
110 |
Number Of Services |
45089 |
Number Of Medicare Beneficiaries |
2888 |
Total Submitted Charge Amount |
6239959 |
Total Medicare Allowed Amount |
4191963.8 |
Total Medicare Payment Amount |
3229486.47 |
Total Medicare Standardized Payment Amount |
3020835.49 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
22 |
Number Of Medicare Beneficiaries With Drug Services |
21 |
Total Drug Submitted ChargeAmount |
6600 |
Total Drug Medicare AllowedAmount |
5453 |
Total Drug Medicare PaymentAmount |
4244.64 |
Total Drug Medicare Standardized Payment Amount |
4244.64 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
109 |
Number Of Medical Services |
45067 |
Number Of Medicare Beneficiaries With Medical Services |
2888 |
Total Medical Submitted Charge Amount |
6233359 |
Total Medical Medicare Allowed Amount |
4186510.8 |
Total Medical Medicare Payment Amount |
3225241.83 |
Total Medical Medicare Standardized Payment Amount |
3016590.85 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
1081 |
Number Of Beneficiaries Age 75 to 84 |
1247 |
Number Of Beneficiaries Age Greater 84 |
500 |
Number Of Female Beneficiaries |
1477 |
Number Of Male Beneficiaries |
1411 |
Number Of Non Hispanic White Beneficiaries |
2791 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
16 |
Number Of Beneficiaries With Medicare Only Entitlement |
2788 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
100 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0971 |