National Provider Identifier [NPI]: |
1174534135 |
Last Name Of The Provider |
ROHLFING |
First Name Of The Provider |
JAMES |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
2700 CLARE AVE |
Street Address 2 Of The Provider |
|
City Of The Provider |
BREMERTON |
Zip Code Of The Provider |
98310 |
State Code Of The Provider |
WA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
202 |
Number Of Services |
44963 |
Number Of Medicare Beneficiaries |
2230 |
Total Submitted Charge Amount |
2455442.78 |
Total Medicare Allowed Amount |
746310.54 |
Total Medicare Payment Amount |
566392.13 |
Total Medicare Standardized Payment Amount |
577023.66 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
6 |
Number Of Drug Services |
41397 |
Number Of Medicare Beneficiaries With Drug Services |
509 |
Total Drug Submitted ChargeAmount |
26861.69 |
Total Drug Medicare AllowedAmount |
12129.19 |
Total Drug Medicare PaymentAmount |
9337.14 |
Total Drug Medicare Standardized Payment Amount |
9337.14 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
196 |
Number Of Medical Services |
3566 |
Number Of Medicare Beneficiaries With Medical Services |
2230 |
Total Medical Submitted Charge Amount |
2428581.09 |
Total Medical Medicare Allowed Amount |
734181.35 |
Total Medical Medicare Payment Amount |
557054.99 |
Total Medical Medicare Standardized Payment Amount |
567686.52 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
248 |
Number Of Beneficiaries Age 65 to 74 |
1006 |
Number Of Beneficiaries Age 75 to 84 |
704 |
Number Of Beneficiaries Age Greater 84 |
272 |
Number Of Female Beneficiaries |
1215 |
Number Of Male Beneficiaries |
1015 |
Number Of Non Hispanic White Beneficiaries |
2067 |
Number Of Black or African American Beneficiaries |
33 |
Number Of AsianPacific Islander Beneficiaries |
48 |
Number Of Hispanic Beneficiaries |
37 |
Number Of American Indian Alaska Native Beneficiaries |
18 |
Number Of Beneficiaries With Race Not Else where Classified |
27 |
Number Of Beneficiaries With Medicare Only Entitlement |
1931 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
299 |
Percent Of With Atrial Fibrillation |
13 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
23 |
Percent Of With Chronic Obstructive Pulmonary Disease |
21 |
Percent Of With Depression |
22 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
53 |
Percent Of With Hypertension |
67 |
Percent Of With Ischemic Heart Disease |
29 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
37 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.3139 |