National Provider Identifier [NPI]: |
1073617023 |
Last Name Of The Provider |
ROGERS |
First Name Of The Provider |
RODMAN |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2186 GEARY BLVD |
Street Address 2 Of The Provider |
SUITE 214 |
City Of The Provider |
SAN FRANCISCO |
Zip Code Of The Provider |
941153455 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
67 |
Number Of Services |
3928 |
Number Of Medicare Beneficiaries |
592 |
Total Submitted Charge Amount |
664720.19 |
Total Medicare Allowed Amount |
279466.13 |
Total Medicare Payment Amount |
207634.11 |
Total Medicare Standardized Payment Amount |
178873.68 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
1089 |
Number Of Medicare Beneficiaries With Drug Services |
19 |
Total Drug Submitted ChargeAmount |
104016.39 |
Total Drug Medicare AllowedAmount |
30629.53 |
Total Drug Medicare PaymentAmount |
24013.54 |
Total Drug Medicare Standardized Payment Amount |
24013.54 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
64 |
Number Of Medical Services |
2839 |
Number Of Medicare Beneficiaries With Medical Services |
592 |
Total Medical Submitted Charge Amount |
560703.8 |
Total Medical Medicare Allowed Amount |
248836.6 |
Total Medical Medicare Payment Amount |
183620.57 |
Total Medical Medicare Standardized Payment Amount |
154860.14 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
40 |
Number Of Beneficiaries Age 65 to 74 |
262 |
Number Of Beneficiaries Age 75 to 84 |
186 |
Number Of Beneficiaries Age Greater 84 |
104 |
Number Of Female Beneficiaries |
83 |
Number Of Male Beneficiaries |
509 |
Number Of Non Hispanic White Beneficiaries |
434 |
Number Of Black or African American Beneficiaries |
40 |
Number Of AsianPacific Islander Beneficiaries |
75 |
Number Of Hispanic Beneficiaries |
24 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
497 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
95 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
7 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
23 |
Percent Of With Heart Failure |
13 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
17 |
Percent Of With Diabetes |
24 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
60 |
Percent Of With Ischemic Heart Disease |
28 |
Percent Of With Osteoporosis |
4 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
28 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.2213 |