Medicare Facts for Dr. Alan D. Roumm, MD


National Provider Identifier [NPI]: 1457375610
Last Name Of The Provider ROUMM
First Name Of The Provider ALAN
Middle Initial Of The Provider D
Credentials Of The Provider M.D.
Gender Of The Provider M
Entity Type Of The Provider I
Street Address 1 Of The Provider 1845 CENTER ST
Street Address 2 Of The Provider
City Of The Provider CAMP HILL
Zip Code Of The Provider 170111703
State Code Of The Provider PA
Country Code Of The Provider US
Provider Type Of The Provider Rheumatology
Medicare Participation Indicator Y
Number Of HCPCS 45
Number Of Services 9232
Number Of Medicare Beneficiaries 368
Total Submitted Charge Amount 643236
Total Medicare Allowed Amount 445483.93
Total Medicare Payment Amount 342393.93
Total Medicare Standardized Payment Amount 345568.84
Drug Suppress Indicator
Number Of HCPCS Associated With Drug Services 11
Number Of Drug Services 7821
Number Of Medicare Beneficiaries With Drug Services 105
Total Drug Submitted ChargeAmount 475830
Total Drug Medicare AllowedAmount 338805.18
Total Drug Medicare PaymentAmount 265053.86
Total Drug Medicare Standardized Payment Amount 265053.86
Medical SuppressIndicator
Number Of HCPCS Associated With MedicalServices 34
Number Of Medical Services 1411
Number Of Medicare Beneficiaries With Medical Services 368
Total Medical Submitted Charge Amount 167406
Total Medical Medicare Allowed Amount 106678.75
Total Medical Medicare Payment Amount 77340.07
Total Medical Medicare Standardized Payment Amount 80514.98
Average Age Of Beneficiaries 75
Number Of Beneficiaries Age Less65 25
Number Of Beneficiaries Age 65 to 74 147
Number Of Beneficiaries Age 75 to 84 144
Number Of Beneficiaries Age Greater 84 52
Number Of Female Beneficiaries 273
Number Of Male Beneficiaries 95
Number Of Non Hispanic White Beneficiaries 341
Number Of Black or African American Beneficiaries 14
Number Of AsianPacific Islander Beneficiaries
Number Of Hispanic Beneficiaries
Number Of American Indian Alaska Native Beneficiaries 0
Number Of Beneficiaries With Race Not Else where Classified
Number Of Beneficiaries With Medicare Only Entitlement 351
Number Of Beneficiaries With Medicare Medicaid Entitlement 17
Percent Of With Atrial Fibrillation 13
Percent Of With Alzheimers Disease or Dementia 7
Percent Of With Asthma 8
Percent Of With Cancer 10
Percent Of With Heart Failure 18
Percent Of With Chronic Kidney Disease 23
Percent Of With Chronic Obstructive Pulmonary Disease 12
Percent Of With Depression 22
Percent Of With Diabetes 24
Percent Of With Hyperlipidemia 62
Percent Of With Hypertension 67
Percent Of With Ischemic Heart Disease 35
Percent Of With Osteoporosis 17
Percent Of With Rheumatoid Arthritis Osteoarthritis 75
Percent Of With Schizophrenia Other PsychoticDisorders
Percent Of With Stroke 5
Average HCC Risk Score Of Beneficiaries 1.2466

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