National Provider Identifier [NPI]: |
1235139403 |
Last Name Of The Provider |
ROSS |
First Name Of The Provider |
MICHAEL |
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 |
1301 N CONGRESS AVE |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
BOYNTON BEACH |
Zip Code Of The Provider |
334263320 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
93 |
Number Of Services |
61313 |
Number Of Medicare Beneficiaries |
510 |
Total Submitted Charge Amount |
1787388 |
Total Medicare Allowed Amount |
1321787.22 |
Total Medicare Payment Amount |
1027841.09 |
Total Medicare Standardized Payment Amount |
1018335.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
25 |
Number Of Drug Services |
56366 |
Number Of Medicare Beneficiaries With Drug Services |
359 |
Total Drug Submitted ChargeAmount |
1389837 |
Total Drug Medicare AllowedAmount |
1056326.98 |
Total Drug Medicare PaymentAmount |
822161.08 |
Total Drug Medicare Standardized Payment Amount |
822161.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
4947 |
Number Of Medicare Beneficiaries With Medical Services |
510 |
Total Medical Submitted Charge Amount |
397551 |
Total Medical Medicare Allowed Amount |
265460.24 |
Total Medical Medicare Payment Amount |
205680.01 |
Total Medical Medicare Standardized Payment Amount |
196174.16 |
Average Age Of Beneficiaries |
77 |
Number Of Beneficiaries Age Less65 |
22 |
Number Of Beneficiaries Age 65 to 74 |
180 |
Number Of Beneficiaries Age 75 to 84 |
201 |
Number Of Beneficiaries Age Greater 84 |
107 |
Number Of Female Beneficiaries |
382 |
Number Of Male Beneficiaries |
128 |
Number Of Non Hispanic White Beneficiaries |
476 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
14 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
489 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
21 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
23 |
Percent Of With Diabetes |
28 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
70 |
Percent Of With Ischemic Heart Disease |
45 |
Percent Of With Osteoporosis |
41 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.3442 |