National Provider Identifier [NPI]: |
1588869846 |
Last Name Of The Provider |
FROEMMING |
First Name Of The Provider |
ADAM |
Middle Initial Of The Provider |
T |
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 |
Diagnostic Radiology |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
91 |
Number Of Services |
53859 |
Number Of Medicare Beneficiaries |
1907 |
Total Submitted Charge Amount |
419373.36 |
Total Medicare Allowed Amount |
303782.92 |
Total Medicare Payment Amount |
228064.87 |
Total Medicare Standardized Payment Amount |
252250.4 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
8 |
Number Of Drug Services |
51297 |
Number Of Medicare Beneficiaries With Drug Services |
446 |
Total Drug Submitted ChargeAmount |
29645.05 |
Total Drug Medicare AllowedAmount |
27213.94 |
Total Drug Medicare PaymentAmount |
19488.34 |
Total Drug Medicare Standardized Payment Amount |
19488.34 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
83 |
Number Of Medical Services |
2562 |
Number Of Medicare Beneficiaries With Medical Services |
1897 |
Total Medical Submitted Charge Amount |
389728.31 |
Total Medical Medicare Allowed Amount |
276568.98 |
Total Medical Medicare Payment Amount |
208576.53 |
Total Medical Medicare Standardized Payment Amount |
232762.06 |
Average Age Of Beneficiaries |
72 |
Number Of Beneficiaries Age Less65 |
324 |
Number Of Beneficiaries Age 65 to 74 |
817 |
Number Of Beneficiaries Age 75 to 84 |
556 |
Number Of Beneficiaries Age Greater 84 |
210 |
Number Of Female Beneficiaries |
841 |
Number Of Male Beneficiaries |
1066 |
Number Of Non Hispanic White Beneficiaries |
1818 |
Number Of Black or African American Beneficiaries |
18 |
Number Of AsianPacific Islander Beneficiaries |
14 |
Number Of Hispanic Beneficiaries |
16 |
Number Of American Indian Alaska Native Beneficiaries |
15 |
Number Of Beneficiaries With Race Not Else where Classified |
26 |
Number Of Beneficiaries With Medicare Only Entitlement |
1631 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
276 |
Percent Of With Atrial Fibrillation |
21 |
Percent Of With Alzheimers Disease or Dementia |
8 |
Percent Of With Asthma |
8 |
Percent Of With Cancer |
25 |
Percent Of With Heart Failure |
30 |
Percent Of With Chronic Kidney Disease |
41 |
Percent Of With Chronic Obstructive Pulmonary Disease |
19 |
Percent Of With Depression |
27 |
Percent Of With Diabetes |
29 |
Percent Of With Hyperlipidemia |
56 |
Percent Of With Hypertension |
68 |
Percent Of With Ischemic Heart Disease |
47 |
Percent Of With Osteoporosis |
12 |
Percent Of With Rheumatoid Arthritis Osteoarthritis |
40 |
Percent Of With Schizophrenia Other PsychoticDisorders |
6 |
Percent Of With Stroke |
6 |
Average HCC Risk Score Of Beneficiaries |
1.6671 |