National Provider Identifier [NPI]: |
1013915750 |
Last Name Of The Provider |
FRIEDMAN |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
L |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2055 KIMBALL AVE |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
WATERLOO |
Zip Code Of The Provider |
507025047 |
State Code Of The Provider |
IA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
3999 |
Number Of Medicare Beneficiaries |
794 |
Total Submitted Charge Amount |
406428 |
Total Medicare Allowed Amount |
181998.94 |
Total Medicare Payment Amount |
144357.06 |
Total Medicare Standardized Payment Amount |
144382.31 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
180 |
Number Of Medicare Beneficiaries With Drug Services |
104 |
Total Drug Submitted ChargeAmount |
6512 |
Total Drug Medicare AllowedAmount |
5110.87 |
Total Drug Medicare PaymentAmount |
4827.89 |
Total Drug Medicare Standardized Payment Amount |
4827.89 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
104 |
Number Of Medical Services |
3819 |
Number Of Medicare Beneficiaries With Medical Services |
794 |
Total Medical Submitted Charge Amount |
399916 |
Total Medical Medicare Allowed Amount |
176888.07 |
Total Medical Medicare Payment Amount |
139529.17 |
Total Medical Medicare Standardized Payment Amount |
139554.42 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
218 |
Number Of Beneficiaries Age 65 to 74 |
234 |
Number Of Beneficiaries Age 75 to 84 |
196 |
Number Of Beneficiaries Age Greater 84 |
146 |
Number Of Female Beneficiaries |
441 |
Number Of Male Beneficiaries |
353 |
Number Of Non Hispanic White Beneficiaries |
709 |
Number Of Black or African American Beneficiaries |
68 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
513 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
281 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
10 |
Percent Of With Heart Failure |
26 |
Percent Of With Chronic Kidney Disease |
21 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
32 |
Percent Of With Hyperlipidemia |
48 |
Percent Of With Hypertension |
69 |
Percent Of With Ischemic Heart Disease |
39 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
36 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3522 |