National Provider Identifier [NPI]: |
1942261375 |
Last Name Of The Provider |
RITTENBERG |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
H |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
423 3RD AVE |
Street Address 2 Of The Provider |
SUITE B |
City Of The Provider |
KINGSTON |
Zip Code Of The Provider |
187045809 |
State Code Of The Provider |
PA |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Urology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
107 |
Number Of Services |
7856 |
Number Of Medicare Beneficiaries |
1231 |
Total Submitted Charge Amount |
1103045 |
Total Medicare Allowed Amount |
455611.83 |
Total Medicare Payment Amount |
341339.77 |
Total Medicare Standardized Payment Amount |
352236.16 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
664 |
Number Of Medicare Beneficiaries With Drug Services |
49 |
Total Drug Submitted ChargeAmount |
278798 |
Total Drug Medicare AllowedAmount |
94495.99 |
Total Drug Medicare PaymentAmount |
73330 |
Total Drug Medicare Standardized Payment Amount |
73330 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
103 |
Number Of Medical Services |
7192 |
Number Of Medicare Beneficiaries With Medical Services |
1231 |
Total Medical Submitted Charge Amount |
824247 |
Total Medical Medicare Allowed Amount |
361115.84 |
Total Medical Medicare Payment Amount |
268009.77 |
Total Medical Medicare Standardized Payment Amount |
278906.16 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
97 |
Number Of Beneficiaries Age 65 to 74 |
446 |
Number Of Beneficiaries Age 75 to 84 |
476 |
Number Of Beneficiaries Age Greater 84 |
212 |
Number Of Female Beneficiaries |
327 |
Number Of Male Beneficiaries |
904 |
Number Of Non Hispanic White Beneficiaries |
1196 |
Number Of Black or African American Beneficiaries |
|
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
13 |
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
11 |
Number Of Beneficiaries With Medicare Only Entitlement |
1091 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
140 |
Percent Of With Atrial Fibrillation |
15 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
5 |
Percent Of With Cancer |
19 |
Percent Of With Heart Failure |
19 |
Percent Of With Chronic Kidney Disease |
26 |
Percent Of With Chronic Obstructive Pulmonary Disease |
17 |
Percent Of With Depression |
14 |
Percent Of With Diabetes |
31 |
Percent Of With Hyperlipidemia |
69 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
53 |
Percent Of With Osteoporosis |
7 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
45 |
Percent Of With Schizophrenia Other PsychoticDisorders |
2 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.2761 |