National Provider Identifier [NPI]: |
1346224466 |
Last Name Of The Provider |
ROSEN |
First Name Of The Provider |
SUZANNE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
MD |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
355 ABBOTT ST |
Street Address 2 Of The Provider |
100 |
City Of The Provider |
SALINAS |
Zip Code Of The Provider |
939014483 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
113 |
Number Of Services |
7619 |
Number Of Medicare Beneficiaries |
530 |
Total Submitted Charge Amount |
455231.99 |
Total Medicare Allowed Amount |
201879.82 |
Total Medicare Payment Amount |
158180.94 |
Total Medicare Standardized Payment Amount |
154698.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
14 |
Number Of Drug Services |
470 |
Number Of Medicare Beneficiaries With Drug Services |
242 |
Total Drug Submitted ChargeAmount |
22416.68 |
Total Drug Medicare AllowedAmount |
9007.69 |
Total Drug Medicare PaymentAmount |
8733.11 |
Total Drug Medicare Standardized Payment Amount |
8733.11 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
99 |
Number Of Medical Services |
7149 |
Number Of Medicare Beneficiaries With Medical Services |
530 |
Total Medical Submitted Charge Amount |
432815.31 |
Total Medical Medicare Allowed Amount |
192872.13 |
Total Medical Medicare Payment Amount |
149447.83 |
Total Medical Medicare Standardized Payment Amount |
145965.81 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
60 |
Number Of Beneficiaries Age 65 to 74 |
226 |
Number Of Beneficiaries Age 75 to 84 |
162 |
Number Of Beneficiaries Age Greater 84 |
82 |
Number Of Female Beneficiaries |
447 |
Number Of Male Beneficiaries |
83 |
Number Of Non Hispanic White Beneficiaries |
280 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
29 |
Number Of Hispanic Beneficiaries |
197 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
13 |
Number Of Beneficiaries With Medicare Only Entitlement |
402 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
128 |
Percent Of With Atrial Fibrillation |
10 |
Percent Of With Alzheimers Disease or Dementia |
12 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
16 |
Percent Of With Chronic Kidney Disease |
17 |
Percent Of With Chronic Obstructive Pulmonary Disease |
10 |
Percent Of With Depression |
19 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
25 |
Percent Of With Osteoporosis |
18 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
1.0422 |