National Provider Identifier [NPI]: |
1225069909 |
Last Name Of The Provider |
ROSENSTIEL |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1300 MCFARLAND BLVD NE |
Street Address 2 Of The Provider |
STE 150 |
City Of The Provider |
TUSCALOOSA |
Zip Code Of The Provider |
354062283 |
State Code Of The Provider |
AL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Otolaryngology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
70 |
Number Of Services |
4641 |
Number Of Medicare Beneficiaries |
712 |
Total Submitted Charge Amount |
264770.9 |
Total Medicare Allowed Amount |
172887.16 |
Total Medicare Payment Amount |
123550.45 |
Total Medicare Standardized Payment Amount |
138225.82 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
198 |
Number Of Medicare Beneficiaries With Drug Services |
42 |
Total Drug Submitted ChargeAmount |
594 |
Total Drug Medicare AllowedAmount |
66.2 |
Total Drug Medicare PaymentAmount |
52.93 |
Total Drug Medicare Standardized Payment Amount |
52.93 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
67 |
Number Of Medical Services |
4443 |
Number Of Medicare Beneficiaries With Medical Services |
712 |
Total Medical Submitted Charge Amount |
264176.9 |
Total Medical Medicare Allowed Amount |
172820.96 |
Total Medical Medicare Payment Amount |
123497.52 |
Total Medical Medicare Standardized Payment Amount |
138172.89 |
Average Age Of Beneficiaries |
69 |
Number Of Beneficiaries Age Less65 |
170 |
Number Of Beneficiaries Age 65 to 74 |
300 |
Number Of Beneficiaries Age 75 to 84 |
187 |
Number Of Beneficiaries Age Greater 84 |
55 |
Number Of Female Beneficiaries |
451 |
Number Of Male Beneficiaries |
261 |
Number Of Non Hispanic White Beneficiaries |
539 |
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 |
540 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
172 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
19 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
21 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
67 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
30 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
47 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0675 |