| National Provider Identifier [NPI]: | 1285632760 |
| Last Name Of The Provider | ROSE |
| First Name Of The Provider | MARC |
| Middle Initial Of The Provider | C |
| Credentials Of The Provider | MD |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 787 37TH ST |
| Street Address 2 Of The Provider | SUITE E200 |
| City Of The Provider | VERO BEACH |
| Zip Code Of The Provider | 329607305 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Urology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 112 |
| Number Of Services | 21100 |
| Number Of Medicare Beneficiaries | 1794 |
| Total Submitted Charge Amount | 1661551.5 |
| Total Medicare Allowed Amount | 783747.38 |
| Total Medicare Payment Amount | 602794.8 |
| Total Medicare Standardized Payment Amount | 585726.21 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 10 |
| Number Of Drug Services | 3909 |
| Number Of Medicare Beneficiaries With Drug Services | 200 |
| Total Drug Submitted ChargeAmount | 257326 |
| Total Drug Medicare AllowedAmount | 119780.62 |
| Total Drug Medicare PaymentAmount | 90946.37 |
| Total Drug Medicare Standardized Payment Amount | 90946.37 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 102 |
| Number Of Medical Services | 17191 |
| Number Of Medicare Beneficiaries With Medical Services | 1794 |
| Total Medical Submitted Charge Amount | 1404225.5 |
| Total Medical Medicare Allowed Amount | 663966.76 |
| Total Medical Medicare Payment Amount | 511848.43 |
| Total Medical Medicare Standardized Payment Amount | 494779.84 |
| Average Age Of Beneficiaries | 78 |
| Number Of Beneficiaries Age Less65 | 42 |
| Number Of Beneficiaries Age 65 to 74 | 584 |
| Number Of Beneficiaries Age 75 to 84 | 734 |
| Number Of Beneficiaries Age Greater 84 | 434 |
| Number Of Female Beneficiaries | 407 |
| Number Of Male Beneficiaries | 1387 |
| Number Of Non Hispanic White Beneficiaries | 1733 |
| Number Of Black or African American Beneficiaries | 22 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 19 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | |
| Number Of Beneficiaries With Medicare Only Entitlement | 1767 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 27 |
| Percent Of With Atrial Fibrillation | 19 |
| Percent Of With Alzheimers Disease or Dementia | 10 |
| Percent Of With Asthma | 6 |
| Percent Of With Cancer | 29 |
| Percent Of With Heart Failure | 15 |
| Percent Of With Chronic Kidney Disease | 23 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 13 |
| Percent Of With Depression | 13 |
| Percent Of With Diabetes | 26 |
| Percent Of With Hyperlipidemia | 73 |
| Percent Of With Hypertension | 73 |
| Percent Of With Ischemic Heart Disease | 48 |
| Percent Of With Osteoporosis | 7 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 42 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 2 |
| Percent Of With Stroke | 6 |
| Average HCC Risk Score Of Beneficiaries | 1.223 |