National Provider Identifier [NPI]: |
1326003823 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
JOHN |
Middle Initial Of The Provider |
D |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10666 N TORREY PINES RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
LA JOLLA |
Zip Code Of The Provider |
920371027 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
81 |
Number Of Services |
3409 |
Number Of Medicare Beneficiaries |
1842 |
Total Submitted Charge Amount |
1059507.45 |
Total Medicare Allowed Amount |
334644.91 |
Total Medicare Payment Amount |
254250.42 |
Total Medicare Standardized Payment Amount |
251008.95 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
602 |
Number Of Medicare Beneficiaries With Drug Services |
143 |
Total Drug Submitted ChargeAmount |
61801.2 |
Total Drug Medicare AllowedAmount |
25084.14 |
Total Drug Medicare PaymentAmount |
19582.47 |
Total Drug Medicare Standardized Payment Amount |
19582.47 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
2807 |
Number Of Medicare Beneficiaries With Medical Services |
1842 |
Total Medical Submitted Charge Amount |
997706.25 |
Total Medical Medicare Allowed Amount |
309560.77 |
Total Medical Medicare Payment Amount |
234667.95 |
Total Medical Medicare Standardized Payment Amount |
231426.48 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
99 |
Number Of Beneficiaries Age 65 to 74 |
696 |
Number Of Beneficiaries Age 75 to 84 |
648 |
Number Of Beneficiaries Age Greater 84 |
399 |
Number Of Female Beneficiaries |
830 |
Number Of Male Beneficiaries |
1012 |
Number Of Non Hispanic White Beneficiaries |
1593 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
77 |
Number Of Hispanic Beneficiaries |
105 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
44 |
Number Of Beneficiaries With Medicare Only Entitlement |
1698 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
144 |
Percent Of With Atrial Fibrillation |
38 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
31 |
Percent Of With Chronic Obstructive Pulmonary Disease |
15 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
27 |
Percent Of With Hyperlipidemia |
70 |
Percent Of With Hypertension |
73 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
8 |
Average HCC Risk Score Of Beneficiaries |
1.5748 |