National Provider Identifier [NPI]: |
1871649582 |
Last Name Of The Provider |
ROBERTSON |
First Name Of The Provider |
JANET |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
169 MINE BROOK RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
BERNARDSVILLE |
Zip Code Of The Provider |
079242109 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
25 |
Number Of Services |
3248 |
Number Of Medicare Beneficiaries |
432 |
Total Submitted Charge Amount |
177628.29 |
Total Medicare Allowed Amount |
155139.94 |
Total Medicare Payment Amount |
117073.34 |
Total Medicare Standardized Payment Amount |
113042.92 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
174 |
Number Of Medicare Beneficiaries With Drug Services |
142 |
Total Drug Submitted ChargeAmount |
3166.77 |
Total Drug Medicare AllowedAmount |
2808.23 |
Total Drug Medicare PaymentAmount |
2736.95 |
Total Drug Medicare Standardized Payment Amount |
2736.95 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
21 |
Number Of Medical Services |
3074 |
Number Of Medicare Beneficiaries With Medical Services |
432 |
Total Medical Submitted Charge Amount |
174461.52 |
Total Medical Medicare Allowed Amount |
152331.71 |
Total Medical Medicare Payment Amount |
114336.39 |
Total Medical Medicare Standardized Payment Amount |
110305.97 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
13 |
Number Of Beneficiaries Age 65 to 74 |
154 |
Number Of Beneficiaries Age 75 to 84 |
166 |
Number Of Beneficiaries Age Greater 84 |
99 |
Number Of Female Beneficiaries |
344 |
Number Of Male Beneficiaries |
88 |
Number Of Non Hispanic White Beneficiaries |
414 |
Number Of Black or African American Beneficiaries |
|
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 |
419 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
13 |
Percent Of With Atrial Fibrillation |
11 |
Percent Of With Alzheimers Disease or Dementia |
6 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
10 |
Percent Of With Chronic Kidney Disease |
9 |
Percent Of With Chronic Obstructive Pulmonary Disease |
5 |
Percent Of With Depression |
9 |
Percent Of With Diabetes |
12 |
Percent Of With Hyperlipidemia |
44 |
Percent Of With Hypertension |
57 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
38 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
3 |
Average HCC Risk Score Of Beneficiaries |
0.8872 |