National Provider Identifier [NPI]: |
1811983083 |
Last Name Of The Provider |
ROTHSCHILD |
First Name Of The Provider |
MARK |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1149 MAIN ST |
Street Address 2 Of The Provider |
2ND FL |
City Of The Provider |
THE VILLAGES |
Zip Code Of The Provider |
321597721 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
5305 |
Number Of Medicare Beneficiaries |
1181 |
Total Submitted Charge Amount |
1253537.7 |
Total Medicare Allowed Amount |
597846.44 |
Total Medicare Payment Amount |
457131.42 |
Total Medicare Standardized Payment Amount |
459907.61 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
313 |
Number Of Medicare Beneficiaries With Drug Services |
78 |
Total Drug Submitted ChargeAmount |
33247.94 |
Total Drug Medicare AllowedAmount |
16588.03 |
Total Drug Medicare PaymentAmount |
12876.61 |
Total Drug Medicare Standardized Payment Amount |
12876.61 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
4992 |
Number Of Medicare Beneficiaries With Medical Services |
1181 |
Total Medical Submitted Charge Amount |
1220289.76 |
Total Medical Medicare Allowed Amount |
581258.41 |
Total Medical Medicare Payment Amount |
444254.81 |
Total Medical Medicare Standardized Payment Amount |
447031 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
35 |
Number Of Beneficiaries Age 65 to 74 |
511 |
Number Of Beneficiaries Age 75 to 84 |
446 |
Number Of Beneficiaries Age Greater 84 |
189 |
Number Of Female Beneficiaries |
557 |
Number Of Male Beneficiaries |
624 |
Number Of Non Hispanic White Beneficiaries |
1125 |
Number Of Black or African American Beneficiaries |
26 |
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 |
1108 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
73 |
Percent Of With Atrial Fibrillation |
35 |
Percent Of With Alzheimers Disease or Dementia |
18 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
36 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
28 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
10 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
46 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
13 |
Average HCC Risk Score Of Beneficiaries |
1.609 |