National Provider Identifier [NPI]: |
1710143656 |
Last Name Of The Provider |
ROSHAL |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
435 HURFFVILLE CROSS KEYS RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
TURNERSVILLE |
Zip Code Of The Provider |
080122453 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
14 |
Number Of Services |
819 |
Number Of Medicare Beneficiaries |
557 |
Total Submitted Charge Amount |
176758.45 |
Total Medicare Allowed Amount |
116139.93 |
Total Medicare Payment Amount |
86745.38 |
Total Medicare Standardized Payment Amount |
82280.89 |
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 |
14 |
Number Of Medical Services |
819 |
Number Of Medicare Beneficiaries With Medical Services |
557 |
Total Medical Submitted Charge Amount |
176758.45 |
Total Medical Medicare Allowed Amount |
116139.93 |
Total Medical Medicare Payment Amount |
86745.38 |
Total Medical Medicare Standardized Payment Amount |
82280.89 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
101 |
Number Of Beneficiaries Age 65 to 74 |
163 |
Number Of Beneficiaries Age 75 to 84 |
168 |
Number Of Beneficiaries Age Greater 84 |
125 |
Number Of Female Beneficiaries |
298 |
Number Of Male Beneficiaries |
259 |
Number Of Non Hispanic White Beneficiaries |
445 |
Number Of Black or African American Beneficiaries |
91 |
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 |
435 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
122 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
41 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
54 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
38 |
Percent Of With Diabetes |
50 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
68 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
49 |
Percent Of With Schizophrenia Other PsychoticDisorders |
12 |
Percent Of With Stroke |
68 |
Average HCC Risk Score Of Beneficiaries |
1.9413 |