National Provider Identifier [NPI]: |
1407804313 |
Last Name Of The Provider |
ROSINSKY |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
E |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
201 W 69TH ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
SIOUX FALLS |
Zip Code Of The Provider |
571082403 |
State Code Of The Provider |
SD |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
94 |
Number Of Services |
6770 |
Number Of Medicare Beneficiaries |
990 |
Total Submitted Charge Amount |
1580733 |
Total Medicare Allowed Amount |
368490.35 |
Total Medicare Payment Amount |
274491.51 |
Total Medicare Standardized Payment Amount |
281340.29 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
2830 |
Number Of Medicare Beneficiaries With Drug Services |
95 |
Total Drug Submitted ChargeAmount |
514824 |
Total Drug Medicare AllowedAmount |
96421.03 |
Total Drug Medicare PaymentAmount |
73790.99 |
Total Drug Medicare Standardized Payment Amount |
73790.99 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
89 |
Number Of Medical Services |
3940 |
Number Of Medicare Beneficiaries With Medical Services |
990 |
Total Medical Submitted Charge Amount |
1065909 |
Total Medical Medicare Allowed Amount |
272069.32 |
Total Medical Medicare Payment Amount |
200700.52 |
Total Medical Medicare Standardized Payment Amount |
207549.3 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
65 |
Number Of Beneficiaries Age 65 to 74 |
420 |
Number Of Beneficiaries Age 75 to 84 |
350 |
Number Of Beneficiaries Age Greater 84 |
155 |
Number Of Female Beneficiaries |
170 |
Number Of Male Beneficiaries |
820 |
Number Of Non Hispanic White Beneficiaries |
955 |
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 |
14 |
Number Of Beneficiaries With Medicare Only Entitlement |
911 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
79 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
5 |
Percent Of With Asthma |
4 |
Percent Of With Cancer |
27 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
11 |
Percent Of With Depression |
13 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
52 |
Percent Of With Hypertension |
65 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
29 |
Percent Of With Schizophrenia Other PsychoticDisorders |
4 |
Percent Of With Stroke |
2 |
Average HCC Risk Score Of Beneficiaries |
1.1941 |