National Provider Identifier [NPI]: |
1316927254 |
Last Name Of The Provider |
OSBORN |
First Name Of The Provider |
MICHAEL |
Middle Initial Of The Provider |
J |
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
200 1ST ST SW |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROCHESTER |
Zip Code Of The Provider |
559050001 |
State Code Of The Provider |
MN |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiac Electrophysiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
68 |
Number Of Services |
7170 |
Number Of Medicare Beneficiaries |
5395 |
Total Submitted Charge Amount |
324915.29 |
Total Medicare Allowed Amount |
191747.68 |
Total Medicare Payment Amount |
139130.81 |
Total Medicare Standardized Payment Amount |
155972.04 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
0 |
Number Of Drug Services |
0 |
Number Of Medicare Beneficiaries With Drug Services |
0 |
Total Drug Submitted ChargeAmount |
0 |
Total Drug Medicare AllowedAmount |
0 |
Total Drug Medicare PaymentAmount |
0 |
Total Drug Medicare Standardized Payment Amount |
0 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
68 |
Number Of Medical Services |
7170 |
Number Of Medicare Beneficiaries With Medical Services |
5395 |
Total Medical Submitted Charge Amount |
324915.29 |
Total Medical Medicare Allowed Amount |
191747.68 |
Total Medical Medicare Payment Amount |
139130.81 |
Total Medical Medicare Standardized Payment Amount |
155972.04 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
683 |
Number Of Beneficiaries Age 65 to 74 |
1960 |
Number Of Beneficiaries Age 75 to 84 |
1877 |
Number Of Beneficiaries Age Greater 84 |
875 |
Number Of Female Beneficiaries |
2432 |
Number Of Male Beneficiaries |
2963 |
Number Of Non Hispanic White Beneficiaries |
5131 |
Number Of Black or African American Beneficiaries |
66 |
Number Of AsianPacific Islander Beneficiaries |
50 |
Number Of Hispanic Beneficiaries |
48 |
Number Of American Indian Alaska Native Beneficiaries |
21 |
Number Of Beneficiaries With Race Not Else where Classified |
79 |
Number Of Beneficiaries With Medicare Only Entitlement |
4757 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
638 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
7 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
37 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
25 |
Percent Of With Diabetes |
30 |
Percent Of With Hyperlipidemia |
59 |
Percent Of With Hypertension |
72 |
Percent Of With Ischemic Heart Disease |
57 |
Percent Of With Osteoporosis |
11 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
7 |
Average HCC Risk Score Of Beneficiaries |
1.5858 |