National Provider Identifier [NPI]: |
1871590901 |
Last Name Of The Provider |
JOHN-ROSMAN |
First Name Of The Provider |
SARINE |
Middle Initial Of The Provider |
|
Credentials Of The Provider |
M.D. |
Gender Of The Provider |
F |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
18303 E 10 MILE RD |
Street Address 2 Of The Provider |
|
City Of The Provider |
ROSEVILLE |
Zip Code Of The Provider |
480664988 |
State Code Of The Provider |
MI |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Cardiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
50 |
Number Of Services |
5014 |
Number Of Medicare Beneficiaries |
1968 |
Total Submitted Charge Amount |
674656 |
Total Medicare Allowed Amount |
313205.08 |
Total Medicare Payment Amount |
237491.7 |
Total Medicare Standardized Payment Amount |
231400.77 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
4 |
Number Of Drug Services |
59 |
Number Of Medicare Beneficiaries With Drug Services |
26 |
Total Drug Submitted ChargeAmount |
3081 |
Total Drug Medicare AllowedAmount |
2046.7 |
Total Drug Medicare PaymentAmount |
1629.83 |
Total Drug Medicare Standardized Payment Amount |
1629.83 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
46 |
Number Of Medical Services |
4955 |
Number Of Medicare Beneficiaries With Medical Services |
1968 |
Total Medical Submitted Charge Amount |
671575 |
Total Medical Medicare Allowed Amount |
311158.38 |
Total Medical Medicare Payment Amount |
235861.87 |
Total Medical Medicare Standardized Payment Amount |
229770.94 |
Average Age Of Beneficiaries |
74 |
Number Of Beneficiaries Age Less65 |
360 |
Number Of Beneficiaries Age 65 to 74 |
603 |
Number Of Beneficiaries Age 75 to 84 |
576 |
Number Of Beneficiaries Age Greater 84 |
429 |
Number Of Female Beneficiaries |
1213 |
Number Of Male Beneficiaries |
755 |
Number Of Non Hispanic White Beneficiaries |
1169 |
Number Of Black or African American Beneficiaries |
760 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
15 |
Number Of American Indian Alaska Native Beneficiaries |
|
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
1373 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
595 |
Percent Of With Atrial Fibrillation |
29 |
Percent Of With Alzheimers Disease or Dementia |
27 |
Percent Of With Asthma |
18 |
Percent Of With Cancer |
15 |
Percent Of With Heart Failure |
51 |
Percent Of With Chronic Kidney Disease |
52 |
Percent Of With Chronic Obstructive Pulmonary Disease |
38 |
Percent Of With Depression |
29 |
Percent Of With Diabetes |
49 |
Percent Of With Hyperlipidemia |
75 |
Percent Of With Hypertension |
75 |
Percent Of With Ischemic Heart Disease |
69 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
57 |
Percent Of With Schizophrenia Other PsychoticDisorders |
9 |
Percent Of With Stroke |
18 |
Average HCC Risk Score Of Beneficiaries |
2.4431 |