National Provider Identifier [NPI]: |
1023031184 |
Last Name Of The Provider |
ROMANO |
First Name Of The Provider |
THOMAS |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1701 E CESAR E CHAVEZ AVE |
Street Address 2 Of The Provider |
SUITE #510 |
City Of The Provider |
LOS ANGELES |
Zip Code Of The Provider |
900332464 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Rheumatology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
27 |
Number Of Services |
4886 |
Number Of Medicare Beneficiaries |
475 |
Total Submitted Charge Amount |
634784.02 |
Total Medicare Allowed Amount |
349201.61 |
Total Medicare Payment Amount |
257229.33 |
Total Medicare Standardized Payment Amount |
234435.93 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
2246 |
Number Of Medicare Beneficiaries With Drug Services |
257 |
Total Drug Submitted ChargeAmount |
147573.02 |
Total Drug Medicare AllowedAmount |
93396.71 |
Total Drug Medicare PaymentAmount |
72797.67 |
Total Drug Medicare Standardized Payment Amount |
72797.67 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
19 |
Number Of Medical Services |
2640 |
Number Of Medicare Beneficiaries With Medical Services |
474 |
Total Medical Submitted Charge Amount |
487211 |
Total Medical Medicare Allowed Amount |
255804.9 |
Total Medical Medicare Payment Amount |
184431.66 |
Total Medical Medicare Standardized Payment Amount |
161638.26 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
107 |
Number Of Beneficiaries Age 65 to 74 |
185 |
Number Of Beneficiaries Age 75 to 84 |
132 |
Number Of Beneficiaries Age Greater 84 |
51 |
Number Of Female Beneficiaries |
384 |
Number Of Male Beneficiaries |
91 |
Number Of Non Hispanic White Beneficiaries |
21 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
424 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
35 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
440 |
Percent Of With Atrial Fibrillation |
6 |
Percent Of With Alzheimers Disease or Dementia |
14 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
5 |
Percent Of With Heart Failure |
22 |
Percent Of With Chronic Kidney Disease |
27 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
39 |
Percent Of With Diabetes |
52 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
19 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
75 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.678 |