National Provider Identifier [NPI]: |
1942294657 |
Last Name Of The Provider |
ROSENBERG |
First Name Of The Provider |
RICHARD |
Middle Initial Of The Provider |
A |
Credentials Of The Provider |
MD |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
232 DENISON PKWY E |
Street Address 2 Of The Provider |
|
City Of The Provider |
CORNING |
Zip Code Of The Provider |
148302813 |
State Code Of The Provider |
NY |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Ophthalmology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
7008 |
Number Of Medicare Beneficiaries |
2438 |
Total Submitted Charge Amount |
1694994 |
Total Medicare Allowed Amount |
699094.67 |
Total Medicare Payment Amount |
482796.15 |
Total Medicare Standardized Payment Amount |
515287.07 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
3 |
Number Of Drug Services |
982 |
Number Of Medicare Beneficiaries With Drug Services |
36 |
Total Drug Submitted ChargeAmount |
9715 |
Total Drug Medicare AllowedAmount |
9219.92 |
Total Drug Medicare PaymentAmount |
7215.16 |
Total Drug Medicare Standardized Payment Amount |
7215.16 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
47 |
Number Of Medical Services |
6026 |
Number Of Medicare Beneficiaries With Medical Services |
2438 |
Total Medical Submitted Charge Amount |
1685279 |
Total Medical Medicare Allowed Amount |
689874.75 |
Total Medical Medicare Payment Amount |
475580.99 |
Total Medical Medicare Standardized Payment Amount |
508071.91 |
Average Age Of Beneficiaries |
76 |
Number Of Beneficiaries Age Less65 |
176 |
Number Of Beneficiaries Age 65 to 74 |
820 |
Number Of Beneficiaries Age 75 to 84 |
915 |
Number Of Beneficiaries Age Greater 84 |
527 |
Number Of Female Beneficiaries |
1455 |
Number Of Male Beneficiaries |
983 |
Number Of Non Hispanic White Beneficiaries |
2334 |
Number Of Black or African American Beneficiaries |
55 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
22 |
Number Of Beneficiaries With Medicare Only Entitlement |
2103 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
335 |
Percent Of With Atrial Fibrillation |
12 |
Percent Of With Alzheimers Disease or Dementia |
9 |
Percent Of With Asthma |
6 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
20 |
Percent Of With Chronic Kidney Disease |
18 |
Percent Of With Chronic Obstructive Pulmonary Disease |
13 |
Percent Of With Depression |
18 |
Percent Of With Diabetes |
37 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
35 |
Percent Of With Osteoporosis |
6 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
32 |
Percent Of With Schizophrenia Other PsychoticDisorders |
3 |
Percent Of With Stroke |
5 |
Average HCC Risk Score Of Beneficiaries |
1.1601 |