National Provider Identifier [NPI]: |
1770570608 |
Last Name Of The Provider |
ROCKACY |
First Name Of The Provider |
DOUGLAS |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1400 LOCUST ST |
Street Address 2 Of The Provider |
|
City Of The Provider |
PITTSBURGH |
Zip Code Of The Provider |
152195114 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
29 |
Number Of Services |
537 |
Number Of Medicare Beneficiaries |
339 |
Total Submitted Charge Amount |
177071 |
Total Medicare Allowed Amount |
61403.46 |
Total Medicare Payment Amount |
45770.7 |
Total Medicare Standardized Payment Amount |
46414.94 |
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 |
29 |
Number Of Medical Services |
537 |
Number Of Medicare Beneficiaries With Medical Services |
339 |
Total Medical Submitted Charge Amount |
177071 |
Total Medical Medicare Allowed Amount |
61403.46 |
Total Medical Medicare Payment Amount |
45770.7 |
Total Medical Medicare Standardized Payment Amount |
46414.94 |
Average Age Of Beneficiaries |
62 |
Number Of Beneficiaries Age Less65 |
174 |
Number Of Beneficiaries Age 65 to 74 |
82 |
Number Of Beneficiaries Age 75 to 84 |
49 |
Number Of Beneficiaries Age Greater 84 |
34 |
Number Of Female Beneficiaries |
156 |
Number Of Male Beneficiaries |
183 |
Number Of Non Hispanic White Beneficiaries |
227 |
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 |
147 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
192 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
19 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
33 |
Percent Of With Chronic Obstructive Pulmonary Disease |
34 |
Percent Of With Depression |
60 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
39 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
43 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
48 |
Percent Of With Schizophrenia Other PsychoticDisorders |
25 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.0444 |