National Provider Identifier [NPI]: |
1114973542 |
Last Name Of The Provider |
ROCA |
First Name Of The Provider |
MARGO |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18451 MEYER AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
PORT CHARLOTTE |
Zip Code Of The Provider |
339488931 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
187 |
Number Of Services |
55036 |
Number Of Medicare Beneficiaries |
7219 |
Total Submitted Charge Amount |
2307407.05 |
Total Medicare Allowed Amount |
1067986.21 |
Total Medicare Payment Amount |
852886.51 |
Total Medicare Standardized Payment Amount |
878623.43 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
43140 |
Number Of Medicare Beneficiaries With Drug Services |
547 |
Total Drug Submitted ChargeAmount |
21581.45 |
Total Drug Medicare AllowedAmount |
11276.92 |
Total Drug Medicare PaymentAmount |
8790 |
Total Drug Medicare Standardized Payment Amount |
8790 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
182 |
Number Of Medical Services |
11896 |
Number Of Medicare Beneficiaries With Medical Services |
7219 |
Total Medical Submitted Charge Amount |
2285825.6 |
Total Medical Medicare Allowed Amount |
1056709.29 |
Total Medical Medicare Payment Amount |
844096.51 |
Total Medical Medicare Standardized Payment Amount |
869833.43 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
483 |
Number Of Beneficiaries Age 65 to 74 |
3458 |
Number Of Beneficiaries Age 75 to 84 |
2411 |
Number Of Beneficiaries Age Greater 84 |
867 |
Number Of Female Beneficiaries |
4734 |
Number Of Male Beneficiaries |
2485 |
Number Of Non Hispanic White Beneficiaries |
6769 |
Number Of Black or African American Beneficiaries |
186 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
155 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
79 |
Number Of Beneficiaries With Medicare Only Entitlement |
6772 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
447 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
14 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
14 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
43 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.0874 |