National Provider Identifier [NPI]: |
1720039753 |
Last Name Of The Provider |
ROCO |
First Name Of The Provider |
JOSEPH |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
D.O. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
39000 BOB HOPE DR |
Street Address 2 Of The Provider |
EISENHOWER IMAGING CENTER |
City Of The Provider |
RANCHO MIRAGE |
Zip Code Of The Provider |
922703221 |
State Code Of The Provider |
CA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
179 |
Number Of Services |
24943 |
Number Of Medicare Beneficiaries |
3728 |
Total Submitted Charge Amount |
2200558.89 |
Total Medicare Allowed Amount |
504780.15 |
Total Medicare Payment Amount |
373423.17 |
Total Medicare Standardized Payment Amount |
359531.22 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
5 |
Number Of Drug Services |
19611 |
Number Of Medicare Beneficiaries With Drug Services |
297 |
Total Drug Submitted ChargeAmount |
29041.52 |
Total Drug Medicare AllowedAmount |
5931.44 |
Total Drug Medicare PaymentAmount |
4650.15 |
Total Drug Medicare Standardized Payment Amount |
4650.15 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
174 |
Number Of Medical Services |
5332 |
Number Of Medicare Beneficiaries With Medical Services |
3725 |
Total Medical Submitted Charge Amount |
2171517.37 |
Total Medical Medicare Allowed Amount |
498848.71 |
Total Medical Medicare Payment Amount |
368773.02 |
Total Medical Medicare Standardized Payment Amount |
354881.07 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
594 |
Number Of Beneficiaries Age 65 to 74 |
1142 |
Number Of Beneficiaries Age 75 to 84 |
1233 |
Number Of Beneficiaries Age Greater 84 |
759 |
Number Of Female Beneficiaries |
2084 |
Number Of Male Beneficiaries |
1644 |
Number Of Non Hispanic White Beneficiaries |
2507 |
Number Of Black or African American Beneficiaries |
281 |
Number Of AsianPacific Islander Beneficiaries |
233 |
Number Of Hispanic Beneficiaries |
622 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
2081 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
1647 |
Percent Of With Atrial Fibrillation |
18 |
Percent Of With Alzheimers Disease or Dementia |
26 |
Percent Of With Asthma |
14 |
Percent Of With Cancer |
16 |
Percent Of With Heart Failure |
38 |
Percent Of With Chronic Kidney Disease |
44 |
Percent Of With Chronic Obstructive Pulmonary Disease |
30 |
Percent Of With Depression |
34 |
Percent Of With Diabetes |
44 |
Percent Of With Hyperlipidemia |
64 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
56 |
Percent Of With Osteoporosis |
16 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
56 |
Percent Of With Schizophrenia Other PsychoticDisorders |
11 |
Percent Of With Stroke |
14 |
Average HCC Risk Score Of Beneficiaries |
2.2255 |