National Provider Identifier [NPI]: |
1215976816 |
Last Name Of The Provider |
ROSENBERG |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2070 W RUDASILL RD |
Street Address 2 Of The Provider |
STE 130 |
City Of The Provider |
TUCSON |
Zip Code Of The Provider |
857047891 |
State Code Of The Provider |
AZ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Hematology/Oncology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
165 |
Number Of Services |
179795 |
Number Of Medicare Beneficiaries |
870 |
Total Submitted Charge Amount |
8669558 |
Total Medicare Allowed Amount |
2630520.57 |
Total Medicare Payment Amount |
2038832.58 |
Total Medicare Standardized Payment Amount |
2042656.88 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
90 |
Number Of Drug Services |
173868 |
Number Of Medicare Beneficiaries With Drug Services |
427 |
Total Drug Submitted ChargeAmount |
6050047 |
Total Drug Medicare AllowedAmount |
1789122 |
Total Drug Medicare PaymentAmount |
1398220.34 |
Total Drug Medicare Standardized Payment Amount |
1398220.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
75 |
Number Of Medical Services |
5927 |
Number Of Medicare Beneficiaries With Medical Services |
870 |
Total Medical Submitted Charge Amount |
2619511 |
Total Medical Medicare Allowed Amount |
841398.57 |
Total Medical Medicare Payment Amount |
640612.24 |
Total Medical Medicare Standardized Payment Amount |
644436.54 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
41 |
Number Of Beneficiaries Age 65 to 74 |
412 |
Number Of Beneficiaries Age 75 to 84 |
305 |
Number Of Beneficiaries Age Greater 84 |
112 |
Number Of Female Beneficiaries |
483 |
Number Of Male Beneficiaries |
387 |
Number Of Non Hispanic White Beneficiaries |
776 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
822 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
48 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
48 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
28 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
26 |
Percent Of With Hyperlipidemia |
50 |
Percent Of With Hypertension |
61 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
30 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.8034 |