National Provider Identifier [NPI]: |
1386636074 |
Last Name Of The Provider |
ROCCO |
First Name Of The Provider |
VITO |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28 WHITE BRIDGE RD |
Street Address 2 Of The Provider |
STE. 300 |
City Of The Provider |
NASHVILLE |
Zip Code Of The Provider |
372051499 |
State Code Of The Provider |
TN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Nephrology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
36 |
Number Of Services |
3391 |
Number Of Medicare Beneficiaries |
619 |
Total Submitted Charge Amount |
937010.5 |
Total Medicare Allowed Amount |
286657.29 |
Total Medicare Payment Amount |
217573.48 |
Total Medicare Standardized Payment Amount |
231145.89 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
2 |
Number Of Drug Services |
535 |
Number Of Medicare Beneficiaries With Drug Services |
12 |
Total Drug Submitted ChargeAmount |
17144 |
Total Drug Medicare AllowedAmount |
6102.72 |
Total Drug Medicare PaymentAmount |
4753.52 |
Total Drug Medicare Standardized Payment Amount |
4753.52 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
34 |
Number Of Medical Services |
2856 |
Number Of Medicare Beneficiaries With Medical Services |
619 |
Total Medical Submitted Charge Amount |
919866.5 |
Total Medical Medicare Allowed Amount |
280554.57 |
Total Medical Medicare Payment Amount |
212819.96 |
Total Medical Medicare Standardized Payment Amount |
226392.37 |
Average Age Of Beneficiaries |
70 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
202 |
Number Of Beneficiaries Age 75 to 84 |
176 |
Number Of Beneficiaries Age Greater 84 |
77 |
Number Of Female Beneficiaries |
272 |
Number Of Male Beneficiaries |
347 |
Number Of Non Hispanic White Beneficiaries |
467 |
Number Of Black or African American Beneficiaries |
134 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
468 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
151 |
Percent Of With Atrial Fibrillation |
23 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
12 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
62 |
Percent Of With Chronic Kidney Disease |
75 |
Percent Of With Chronic Obstructive Pulmonary Disease |
31 |
Percent Of With Depression |
32 |
Percent Of With Diabetes |
62 |
Percent Of With Hyperlipidemia |
71 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
71 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
10 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
4.1047 |