National Provider Identifier [NPI]: |
1437139789 |
Last Name Of The Provider |
ROCKOWER |
First Name Of The Provider |
ROBERT |
Middle Initial Of The Provider |
K |
Credentials Of The Provider |
DO |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
10696 SE US HIGHWAY 441 |
Street Address 2 Of The Provider |
|
City Of The Provider |
BELLEVIEW |
Zip Code Of The Provider |
344202802 |
State Code Of The Provider |
FL |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Family Practice |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
99 |
Number Of Services |
6919 |
Number Of Medicare Beneficiaries |
903 |
Total Submitted Charge Amount |
587175 |
Total Medicare Allowed Amount |
241910.2 |
Total Medicare Payment Amount |
181944.1 |
Total Medicare Standardized Payment Amount |
182732.84 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
9 |
Number Of Drug Services |
287 |
Number Of Medicare Beneficiaries With Drug Services |
81 |
Total Drug Submitted ChargeAmount |
3689 |
Total Drug Medicare AllowedAmount |
1183.11 |
Total Drug Medicare PaymentAmount |
1035.98 |
Total Drug Medicare Standardized Payment Amount |
1035.98 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
90 |
Number Of Medical Services |
6632 |
Number Of Medicare Beneficiaries With Medical Services |
903 |
Total Medical Submitted Charge Amount |
583486 |
Total Medical Medicare Allowed Amount |
240727.09 |
Total Medical Medicare Payment Amount |
180908.12 |
Total Medical Medicare Standardized Payment Amount |
181696.86 |
Average Age Of Beneficiaries |
73 |
Number Of Beneficiaries Age Less65 |
130 |
Number Of Beneficiaries Age 65 to 74 |
375 |
Number Of Beneficiaries Age 75 to 84 |
280 |
Number Of Beneficiaries Age Greater 84 |
118 |
Number Of Female Beneficiaries |
457 |
Number Of Male Beneficiaries |
446 |
Number Of Non Hispanic White Beneficiaries |
809 |
Number Of Black or African American Beneficiaries |
58 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
22 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
719 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
184 |
Percent Of With Atrial Fibrillation |
14 |
Percent Of With Alzheimers Disease or Dementia |
17 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
14 |
Percent Of With Heart Failure |
23 |
Percent Of With Chronic Kidney Disease |
29 |
Percent Of With Chronic Obstructive Pulmonary Disease |
25 |
Percent Of With Depression |
24 |
Percent Of With Diabetes |
33 |
Percent Of With Hyperlipidemia |
73 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
48 |
Percent Of With Osteoporosis |
9 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
42 |
Percent Of With Schizophrenia Other PsychoticDisorders |
5 |
Percent Of With Stroke |
9 |
Average HCC Risk Score Of Beneficiaries |
1.3529 |