National Provider Identifier [NPI]: |
1386610483 |
Last Name Of The Provider |
ROARK |
First Name Of The Provider |
STEVEN |
Middle Initial Of The Provider |
F |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
4645 NW 8TH AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
GAINESVILLE |
Zip Code Of The Provider |
326054524 |
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 |
127 |
Number Of Services |
18345 |
Number Of Medicare Beneficiaries |
3143 |
Total Submitted Charge Amount |
1078099.8 |
Total Medicare Allowed Amount |
1048699.93 |
Total Medicare Payment Amount |
798423.06 |
Total Medicare Standardized Payment Amount |
804760.45 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
8296 |
Number Of Medicare Beneficiaries With Drug Services |
227 |
Total Drug Submitted ChargeAmount |
37086.26 |
Total Drug Medicare AllowedAmount |
34786.16 |
Total Drug Medicare PaymentAmount |
27099.76 |
Total Drug Medicare Standardized Payment Amount |
27099.76 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
120 |
Number Of Medical Services |
10049 |
Number Of Medicare Beneficiaries With Medical Services |
3143 |
Total Medical Submitted Charge Amount |
1041013.54 |
Total Medical Medicare Allowed Amount |
1013913.77 |
Total Medical Medicare Payment Amount |
771323.3 |
Total Medical Medicare Standardized Payment Amount |
777660.69 |
Average Age Of Beneficiaries |
75 |
Number Of Beneficiaries Age Less65 |
316 |
Number Of Beneficiaries Age 65 to 74 |
1142 |
Number Of Beneficiaries Age 75 to 84 |
1158 |
Number Of Beneficiaries Age Greater 84 |
527 |
Number Of Female Beneficiaries |
1639 |
Number Of Male Beneficiaries |
1504 |
Number Of Non Hispanic White Beneficiaries |
2751 |
Number Of Black or African American Beneficiaries |
298 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
61 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
21 |
Number Of Beneficiaries With Medicare Only Entitlement |
2487 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
656 |
Percent Of With Atrial Fibrillation |
32 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
10 |
Percent Of With Cancer |
12 |
Percent Of With Heart Failure |
41 |
Percent Of With Chronic Kidney Disease |
38 |
Percent Of With Chronic Obstructive Pulmonary Disease |
29 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
43 |
Percent Of With Hyperlipidemia |
71 |
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 |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.6253 |