National Provider Identifier [NPI]: |
1356330948 |
Last Name Of The Provider |
ROSSMAN |
First Name Of The Provider |
HOWARD |
Middle Initial Of The Provider |
S |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
28595 ORCHARD LAKE RD |
Street Address 2 Of The Provider |
SUITE 200 |
City Of The Provider |
FARMINGTON HILLS |
Zip Code Of The Provider |
483342977 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Neurology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
43 |
Number Of Services |
162302 |
Number Of Medicare Beneficiaries |
282 |
Total Submitted Charge Amount |
3096824 |
Total Medicare Allowed Amount |
2481144.3 |
Total Medicare Payment Amount |
1648196.82 |
Total Medicare Standardized Payment Amount |
1671358.24 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
16 |
Number Of Drug Services |
160409 |
Number Of Medicare Beneficiaries With Drug Services |
117 |
Total Drug Submitted ChargeAmount |
2735817 |
Total Drug Medicare AllowedAmount |
2299559.65 |
Total Drug Medicare PaymentAmount |
1533824.12 |
Total Drug Medicare Standardized Payment Amount |
1533824.12 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
27 |
Number Of Medical Services |
1893 |
Number Of Medicare Beneficiaries With Medical Services |
282 |
Total Medical Submitted Charge Amount |
361007 |
Total Medical Medicare Allowed Amount |
181584.65 |
Total Medical Medicare Payment Amount |
114372.7 |
Total Medical Medicare Standardized Payment Amount |
137534.12 |
Average Age Of Beneficiaries |
54 |
Number Of Beneficiaries Age Less65 |
223 |
Number Of Beneficiaries Age 65 to 74 |
46 |
Number Of Beneficiaries Age 75 to 84 |
|
Number Of Beneficiaries Age Greater 84 |
|
Number Of Female Beneficiaries |
224 |
Number Of Male Beneficiaries |
58 |
Number Of Non Hispanic White Beneficiaries |
238 |
Number Of Black or African American Beneficiaries |
|
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 |
211 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
71 |
Percent Of With Atrial Fibrillation |
|
Percent Of With Alzheimers Disease or Dementia |
|
Percent Of With Asthma |
6 |
Percent Of With Cancer |
|
Percent Of With Heart Failure |
|
Percent Of With Chronic Kidney Disease |
6 |
Percent Of With Chronic Obstructive Pulmonary Disease |
7 |
Percent Of With Depression |
33 |
Percent Of With Diabetes |
21 |
Percent Of With Hyperlipidemia |
29 |
Percent Of With Hypertension |
32 |
Percent Of With Ischemic Heart Disease |
13 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
23 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
4 |
Average HCC Risk Score Of Beneficiaries |
1.1658 |