National Provider Identifier [NPI]: |
1407968290 |
Last Name Of The Provider |
ROSENFELD |
First Name Of The Provider |
VICTOR |
Middle Initial Of The Provider |
W |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
1326 EISENHOWER DR. |
Street Address 2 Of The Provider |
BLDG 1 |
City Of The Provider |
SAVANNAH |
Zip Code Of The Provider |
31406 |
State Code Of The Provider |
GA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
73 |
Number Of Services |
3563 |
Number Of Medicare Beneficiaries |
751 |
Total Submitted Charge Amount |
827305 |
Total Medicare Allowed Amount |
340146.35 |
Total Medicare Payment Amount |
250227.93 |
Total Medicare Standardized Payment Amount |
276267.27 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
7 |
Number Of Drug Services |
492 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
5642 |
Total Drug Medicare AllowedAmount |
2406.48 |
Total Drug Medicare PaymentAmount |
1875.43 |
Total Drug Medicare Standardized Payment Amount |
1875.43 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
66 |
Number Of Medical Services |
3071 |
Number Of Medicare Beneficiaries With Medical Services |
751 |
Total Medical Submitted Charge Amount |
821663 |
Total Medical Medicare Allowed Amount |
337739.87 |
Total Medical Medicare Payment Amount |
248352.5 |
Total Medical Medicare Standardized Payment Amount |
274391.84 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
152 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
214 |
Number Of Beneficiaries Age Greater 84 |
83 |
Number Of Female Beneficiaries |
419 |
Number Of Male Beneficiaries |
332 |
Number Of Non Hispanic White Beneficiaries |
538 |
Number Of Black or African American Beneficiaries |
188 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
12 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
611 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
8 |
Percent Of With Alzheimers Disease or Dementia |
20 |
Percent Of With Asthma |
9 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
15 |
Percent Of With Chronic Kidney Disease |
20 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
35 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
74 |
Percent Of With Ischemic Heart Disease |
31 |
Percent Of With Osteoporosis |
3 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
10 |
Average HCC Risk Score Of Beneficiaries |
1.2254 |