National Provider Identifier [NPI]: |
1043263890 |
Last Name Of The Provider |
ROSEN |
First Name Of The Provider |
ROBERT |
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 |
1070 HIGHWAY 34 |
Street Address 2 Of The Provider |
SUITE C |
City Of The Provider |
MATAWAN |
Zip Code Of The Provider |
077473469 |
State Code Of The Provider |
NJ |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Emergency Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
58 |
Number Of Services |
1477 |
Number Of Medicare Beneficiaries |
983 |
Total Submitted Charge Amount |
605852 |
Total Medicare Allowed Amount |
171955.06 |
Total Medicare Payment Amount |
130918.08 |
Total Medicare Standardized Payment Amount |
133839.83 |
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 |
58 |
Number Of Medical Services |
1477 |
Number Of Medicare Beneficiaries With Medical Services |
983 |
Total Medical Submitted Charge Amount |
605852 |
Total Medical Medicare Allowed Amount |
171955.06 |
Total Medical Medicare Payment Amount |
130918.08 |
Total Medical Medicare Standardized Payment Amount |
133839.83 |
Average Age Of Beneficiaries |
71 |
Number Of Beneficiaries Age Less65 |
236 |
Number Of Beneficiaries Age 65 to 74 |
302 |
Number Of Beneficiaries Age 75 to 84 |
268 |
Number Of Beneficiaries Age Greater 84 |
177 |
Number Of Female Beneficiaries |
542 |
Number Of Male Beneficiaries |
441 |
Number Of Non Hispanic White Beneficiaries |
781 |
Number Of Black or African American Beneficiaries |
180 |
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 |
|
Number Of Beneficiaries With Medicare Only Entitlement |
643 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
340 |
Percent Of With Atrial Fibrillation |
19 |
Percent Of With Alzheimers Disease or Dementia |
25 |
Percent Of With Asthma |
13 |
Percent Of With Cancer |
11 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
37 |
Percent Of With Chronic Obstructive Pulmonary Disease |
24 |
Percent Of With Depression |
37 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
62 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
40 |
Percent Of With Osteoporosis |
5 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
7 |
Percent Of With Stroke |
11 |
Average HCC Risk Score Of Beneficiaries |
1.7326 |