National Provider Identifier [NPI]: |
1356345227 |
Last Name Of The Provider |
ROZENFELD |
First Name Of The Provider |
DAVID |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
801 MACARTHUR BLVD |
Street Address 2 Of The Provider |
STE 404 |
City Of The Provider |
MUNSTER |
Zip Code Of The Provider |
463212919 |
State Code Of The Provider |
IN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
54 |
Number Of Services |
18162 |
Number Of Medicare Beneficiaries |
839 |
Total Submitted Charge Amount |
913680 |
Total Medicare Allowed Amount |
461610.49 |
Total Medicare Payment Amount |
347079.29 |
Total Medicare Standardized Payment Amount |
359997.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
1 |
Number Of Drug Services |
14900 |
Number Of Medicare Beneficiaries With Drug Services |
30 |
Total Drug Submitted ChargeAmount |
163900 |
Total Drug Medicare AllowedAmount |
82024 |
Total Drug Medicare PaymentAmount |
64270.6 |
Total Drug Medicare Standardized Payment Amount |
64270.6 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
53 |
Number Of Medical Services |
3262 |
Number Of Medicare Beneficiaries With Medical Services |
839 |
Total Medical Submitted Charge Amount |
749780 |
Total Medical Medicare Allowed Amount |
379586.49 |
Total Medical Medicare Payment Amount |
282808.69 |
Total Medical Medicare Standardized Payment Amount |
295726.47 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
164 |
Number Of Beneficiaries Age 65 to 74 |
291 |
Number Of Beneficiaries Age 75 to 84 |
253 |
Number Of Beneficiaries Age Greater 84 |
131 |
Number Of Female Beneficiaries |
476 |
Number Of Male Beneficiaries |
363 |
Number Of Non Hispanic White Beneficiaries |
635 |
Number Of Black or African American Beneficiaries |
110 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
683 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
156 |
Percent Of With Atrial Fibrillation |
16 |
Percent Of With Alzheimers Disease or Dementia |
29 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
13 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
32 |
Percent Of With Chronic Obstructive Pulmonary Disease |
26 |
Percent Of With Depression |
31 |
Percent Of With Diabetes |
41 |
Percent Of With Hyperlipidemia |
68 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
50 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
51 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
26 |
Average HCC Risk Score Of Beneficiaries |
1.7002 |