National Provider Identifier [NPI]: |
1417940404 |
Last Name Of The Provider |
ROSADO |
First Name Of The Provider |
JOSE |
Middle Initial Of The Provider |
R |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
511 MEDICAL PLAZA DR |
Street Address 2 Of The Provider |
SUITE 101 |
City Of The Provider |
LEESBURG |
Zip Code Of The Provider |
347487326 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
148 |
Number Of Services |
25272.1 |
Number Of Medicare Beneficiaries |
2128 |
Total Submitted Charge Amount |
2270436.18 |
Total Medicare Allowed Amount |
1277430.49 |
Total Medicare Payment Amount |
975284.2 |
Total Medicare Standardized Payment Amount |
980053.28 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
11 |
Number Of Drug Services |
12827.1 |
Number Of Medicare Beneficiaries With Drug Services |
285 |
Total Drug Submitted ChargeAmount |
42667.05 |
Total Drug Medicare AllowedAmount |
28243.52 |
Total Drug Medicare PaymentAmount |
22037 |
Total Drug Medicare Standardized Payment Amount |
22037 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
137 |
Number Of Medical Services |
12445 |
Number Of Medicare Beneficiaries With Medical Services |
2128 |
Total Medical Submitted Charge Amount |
2227769.13 |
Total Medical Medicare Allowed Amount |
1249186.97 |
Total Medical Medicare Payment Amount |
953247.2 |
Total Medical Medicare Standardized Payment Amount |
958016.28 |
Average Age Of Beneficiaries |
78 |
Number Of Beneficiaries Age Less65 |
56 |
Number Of Beneficiaries Age 65 to 74 |
657 |
Number Of Beneficiaries Age 75 to 84 |
991 |
Number Of Beneficiaries Age Greater 84 |
424 |
Number Of Female Beneficiaries |
1004 |
Number Of Male Beneficiaries |
1124 |
Number Of Non Hispanic White Beneficiaries |
2009 |
Number Of Black or African American Beneficiaries |
32 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
59 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
15 |
Number Of Beneficiaries With Medicare Only Entitlement |
1992 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
136 |
Percent Of With Atrial Fibrillation |
28 |
Percent Of With Alzheimers Disease or Dementia |
16 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
34 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
20 |
Percent Of With Diabetes |
34 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
75 |
Percent Of With Osteoporosis |
8 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
44 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.5439 |