National Provider Identifier [NPI]: |
1063461614 |
Last Name Of The Provider |
ROSENBERG |
First Name Of The Provider |
SCOTT |
Middle Initial Of The Provider |
B |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
52 W RED BANK AVE |
Street Address 2 Of The Provider |
SUITE 26 |
City Of The Provider |
WOODBURY |
Zip Code Of The Provider |
080961695 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Pulmonary Disease |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
49 |
Number Of Services |
3411 |
Number Of Medicare Beneficiaries |
1114 |
Total Submitted Charge Amount |
514905 |
Total Medicare Allowed Amount |
265240.98 |
Total Medicare Payment Amount |
205574.35 |
Total Medicare Standardized Payment Amount |
181474.46 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
957 |
Number Of Medicare Beneficiaries With Drug Services |
34 |
Total Drug Submitted ChargeAmount |
26190 |
Total Drug Medicare AllowedAmount |
18802.45 |
Total Drug Medicare PaymentAmount |
14917.08 |
Total Drug Medicare Standardized Payment Amount |
14917.08 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
44 |
Number Of Medical Services |
2454 |
Number Of Medicare Beneficiaries With Medical Services |
1114 |
Total Medical Submitted Charge Amount |
488715 |
Total Medical Medicare Allowed Amount |
246438.53 |
Total Medical Medicare Payment Amount |
190657.27 |
Total Medical Medicare Standardized Payment Amount |
166557.38 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
418 |
Number Of Beneficiaries Age 75 to 84 |
306 |
Number Of Beneficiaries Age Greater 84 |
214 |
Number Of Female Beneficiaries |
641 |
Number Of Male Beneficiaries |
473 |
Number Of Non Hispanic White Beneficiaries |
748 |
Number Of Black or African American Beneficiaries |
335 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
817 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
297 |
Percent Of With Atrial Fibrillation |
25 |
Percent Of With Alzheimers Disease or Dementia |
31 |
Percent Of With Asthma |
20 |
Percent Of With Cancer |
18 |
Percent Of With Heart Failure |
47 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
48 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
58 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
8 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
2.2781 |